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 Residential X
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 6724 CAMANILLA CT
Legal Description: SPANISH LAKES FAIRWAYS BLK 53 LOT 20
Property Tax ID #: 1306-500-0250-000-4 Lot No. 20
Site Plan Name: Block No. 53
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 5 KW ELECTRIC
HEAT
CONSTRUCTION INFORMATION:
Aacitional work to a er orme under t is permit —c ec a app y:
❑✓
HVAC Gas Tank Gas Piping _Shutters Windows/Doors
Electric Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: Scn of First Floor:
Cost of Construction: $ 4,106.00 Utilities: Sewer Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name DONALD RUFUS
Name: JAMES F GRIMES
Address: 6724 CAMPANILLA CT
Company: GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE State: FL
Address: 3054 N US HWY 1
Zip Code: 34951 Fax:
City: FORT PIERCE State: FL
Phone No. 772-595-5884
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.
CONSTRUCTION LIEN LAW
..&aWulvcnfuvuuvtttt: Not Applicable
Name:
Address:
City: State:
ZIP: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MATION:
MORTGAGE COMPANY:Not Applicable
Name:
Address:
City: State:
Zip Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
Zip: Phone:
certify that no work or installation has commenced prior to the issuance of a permit.
whSt.
ich is in confliccttawith any applicablerHo a Owners Asssociation rulesabylaws or and cermit ovenants that may rthe estrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for 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 recordine vour Nnfir•p of r o _.
r--
ature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF ST 1 F
The forgoing instrument was acknowledged before me
this2,JLdayof " by`aQo" 20 ) by
STATE OF FLORIDA
COUNTY OF C T. t_U c l E
The forgoing instrument was acknowledged before me
this2ASdayof Eekn in Yv 20 I� by
�utAE� F C V-knAF_ I t�vv -� cR•�. -
(Name of person acknowledging) (Name of person acknowledging )
I
of Notary Public -
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/15/2014
REVIEWS I FRONTI ZONING
COUNTER REVIEW
INITIALS
of Notary Public- State of Florida
Personally Known 1 OR Produced Identification
Type of Identificati-ori P`roodduced
N
SUSAN MONTENEG 0 Is on o. ; .......... AN MONTENEGRO
MY COMMISSION #GGO 9099"4 MY COMMISSION#GG 089
EXPIRES - April 2.2021 21
Balled ThN Nalery Public UMerwdlers •`11�llt;?•• Bonded Ther Notary PuCBt Under.
SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW