HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02/26/2018 Permit Number:
•
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
1300 Virginia Avenue, Fort Pierce FL 34981
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Mechanical
ROWED IMPROVEMENT LOCATION:
Address: 5167 N HWY AIA UNIT E #602
Legal Description: OCEAN HARBOUR TOWER CONDOMINIUM E UNIT 602
Property Tax ID #: 1411-709-0040-000-3 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF LIKE FOR LIKE 2 TON TRANE A/C SYSTEM, 16 SEER WITH 8 KW ELECTRIC
HEAT
CONSTRUCTION INFORMATION:
ACloitional work to bffrtormed under tispermit—check al appy:
❑✓
HVAC Gas Tank E]Gas Piping_ Shutters Windows/Doors
11 Electric Plumbing Sprinklers C Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 4,492.00 Utilities: LJ Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name EDWARD FOX
Name: JAMES F GRIMES
Address: 5167 N AIA Apt 602Company:
GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE State: FL
Address: 3054 N US HWY 1
Zip Code: 34949 Fax:
City: FORT PIERCE State: FL
Phone No. 302-448-6030
Zip Code: 34946 Fax: 772-461-8722
E -Mail:
Phone No. 772-461-8711
Fill in fee simple Title Holder on next page ( if different
E -Mail: KAYLAGRIMESAC@AOL.COM
from the Owner listed above)
State or County License: RA0018071
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
0001%imcn/c1VU1IVCCn: x Not Applicable
Name:
Address:
City: State:
ZiP: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
—
x Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
ZiP Phone:
BONDING COMPANY:
Name:
Address:
Zip: Phone:
x Not Applicable
I certify that no work or Installation lhas commenced prior to the Issuance of a permit.
St.
Is In conA tawlth anyr applicable lHothat
e Owners Assoclationl rulels abylaws or the permit
that build
drestrict oJr prohibit such
structure. Please consult with your Home Owners Association and review your deed far any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result In your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording vnur Nntira nF r,,.....,e..,..,---
/W I.. l _ w, W.., 1c1 r LesseeJLoncractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF t L) c 1
The forgoing instrument was acknowledged before me
this 2�L day of e J2yt in v\, 20 Eby
c
STATE OF FLORIDA
COUNTVOF_ LC (--1)C.LE
The forgoing instrument was acknowledged before me
this Z�day of Ff.LV to (� 201$ by
_ ,±Bl'dEC F C V_J M>= ��1W1CS t ��rn LS
(Name of person acknowledging) (Name of person acknowledging)
(signature of Notary Public -State of Florid ) Signature of Notary Public -State of Florida
Personally Knowr�� OR Produced Identification Personally Known OR Produced Identification
Type of Identlficatlon ed 4 — I Type of Identifica on Produced
Commission No.
Revised 07/15/2014
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