HomeMy WebLinkAboutBuilding Permit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03/05/2018 Permit Number:
•
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Mechanical III
PROPOSED IMPROVEMENT LOCATION: III
Address: 4310 N A1A UNIT #1102S
Legal Description: ALTAMIRA AT NORTH HUTCHINSON ISLAND (OR 1877-769) UNIT 1102 SOUTH
Property Tax ID #: 1423-565-0044-000-8
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: III
INSTALLATION OF LIKE FOR LIKE 5 TON CARRIER WATER SOURCE HEAT PUMP, 13 EER, NO
KW
CONSTRUCTION INFORMATION: III
onai work ro De errormea
CONTRACTOR:
unser anis
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permn—cnecK an
apply:
❑
City: FORT PIERCE State: FL
Zip Code: 34946 Fax:
Phone No. 772-460-0089
HVAC
Gas Tank
E -Mail:
Piping
_ Shutters
State or County License: RA0018071
Windows/Doors
Electric 0
Plumbing
❑Sprinklers
ElGenerator
❑
Roof ❑ Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 5,882.00
SFt. of First Floor: _
Utilities: Sewer ❑ Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name JERRY MODESITT
Name: JAMES F GRIMES
Address:4310 N A1A UNIT 1102S
Company: GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE State: FL
Zip Code: 34946 Fax:
Phone No. 772-460-0089
Address: 3054 N US HWY 1
City: FORT PIERCE State: FL
Zip Code: 34946 Fax: 772-461-8722
Phone No. 772-461-8711
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: KAYLAGRIMESAC@AOL.COM
State or County License: RA0018071
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
u"IbnitR/LN(jINEER: )L- Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
A- Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Address.
City: State:
Zip: Phone:
BONDING COMPANY:
Name: _
Address:
Zip: Phone:
Applicable
I certify that no
oy work or installation has commenced prior to the issuance of a permit.
which is incontlicctt with anyes applicableapplicableiHo eat is Owners Association rulesaby aws or andpcovenants that build
oirproh bit 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
commenclniz wort( or recording vnur Nntirp of r'nmmo..�o...,....
/G&w�--r Al- < , c
Swiature of Owner/Lessee/Contractor as Agent for Owner nature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF- ST . 1 t .I F COUNTY OFsT. L_VC,t a
The forgoing instrument was acknowledged before me
this 5 day of t& VC,1, 20 kby
- 4PcYVIEs F Gz_\yVw-S
(Name of person acknowledging)
of Notary Public- State of
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
SUSAN
Revised 07/15/2014
The forgoing instrument was acknowledged before me
this S day of 6&Ok C h . 20 _ft_ by
F�1V\,r_� - '2- r 7�
(Name of person acknowledging )
(Signature of Notary Public- State of Florida
Personally Known OR Produced Identification
Type of Identification Producpd
No.
MY COMMISSION K GG
Baled TNv Naery
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS