HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED.
Date: 01/29/2018 Permit Number:
c RECEIVED
Building Permit Application
Planning and Development Services JAN 3 0 2018
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 permitting Department
Stt.. Lucie County
Phone: (772)462-1553 Fax: (772)462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Mechanical
PROPOSED fMPROVEM;ENT
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Address: 5051 N HWYAIA.UNIT 13-3
Legal Description: SEAWARD AT ATLANTIC VIEW UNIT 13-3 AND GARAGE UNIT G-30
Property Tax ID#: 1414-612-0067-000-0 Lot No.
Site Plan Name: BlockNo.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DE'TA;ILED�DESCRIPTION
INSTALLATION OF LIKE FOR LIKE 2.5 TON CARRIER°WATER SOURCE HEAT PUMP, 13.2 EER
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CQNSTRUCTION INFORMATION
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}Additionalwork toe nnartormed under this permit—check aP appy:
HVAC Gas Tank FIGas Piping Shutters Windows Doors
11 Electric El Plumbing Sprinklers E Generator Roof- Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:.
Cost of Construction:$. 5,912.00 Utilities:�Sewer E]Septic Building Height:.
�OU�/NER/L`ESSEE' rt CONTRACTO'�t'
Name POSNELL ENTERPRISES LLC Name: JAMES F GRIMES
Address:16756 Cherrywood Ln Company: GRIMES HEATING AND AIR CONDITIONING
City: WADSWORTH State:IL Address: 3054 N US HWY 1
Zip Code: 60083 Fax: City: FORT PIERCE State:FL
Phone No.920-427-6977 Zip Code: 34946 Fax: 772-461-8722
E-Mail:NA Phone No. 772-461-8711
Fill in fee simple Title Holder on next page(if different E-Mail: K AYLAGRIMESAC@AOL.COM
from the Owner listed above) State or County License: RA0018071
If value of construction is$2500 or more,a RECORDED Notice of Commencement is`required.
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UP 'L`ElI1ETfl A. .L?.:..' lQN4 LIa N LA�W� �INF..QnC R1MY ro CAOUC° Ni,
:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: �d Not Applicable
Name: Name:
Address: Address_:
City: State: City: State:
Zip: Phone: Zip: Phone:
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FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: &Not Applicable I
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
(.certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie.Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
inconsideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,.
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of-Commencement may result in your paying twice for
improvements to your property..A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. if you intend to obtain financing,consult with lender or an attorney before
commencingwork or recordln our Notice of Commencement.
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ature of Owner/Lessee/Contractor as Agent for Owner Si ure of Contractor/License Holder
STATE OF COUNTY OF FLORIDA SN- LU Ll � COUNTY OF FLORIDASTATE OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this29 dayof AQjnpi;&" 20 ("K by this?�dayof jlgwt ,Aa" .20 $by
MAE5 C= G [MSS .� � l S F-_ C I ilik
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public- tate of Florida)
Personally Known OR Produced identification Personally Known _OR.Praduced Identification
Type of Identificat' ' Type of Identificatio' ..........++..�
E CULPEPPER
Commission Na. `t� ,y4= CHR(§71NECUBPpER 'Commission No. ��.$ Y� FAYCOFIMlCHRISTIN> f§ GG081780
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CQMM(SR GG 081780
' • �o`} EXPIRES:Jatwary i1,2021z�t a = EXPIRES:January 11,2021
`S~ P3 :,Or��. aaaedlnn,FtotaryPuWicUndervrtilers.
Revised 07/15/20.14
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE'
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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INITIALS