HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Mechanical
OPOSED P OVEMENT LQC T t
Commercial Residential X
Address: 6712 ALEMENDRA ST
Legal Description. SPANISH LAKES FAIRWAYS BLK 75 LOT 6 (OR 2179-2560)
Property Tax ID #: 1306-500-0351-000-2
Site Plan Name:
Project Name:
Setbacks Front Back:
[Rq� D DESCR)P ION OFWORKT
Right Side: Left Side:
Lot No. 6
Block No. 75
INSTALLATION OF LIKE FOR LIKE 3.5 TON TRANE HEAT PUMP, 14 SEER WITH 5KW ELECTRIC
HEAT
Aciamonal worK to n2ertormed
ZHVAC Gas Tank
❑ Electric ❑ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 4,872.00
uncler this permit — check all appy:
[]Gas Piping _ Shutters
11 Sprinklers ❑ Generator
SFt. of First Floor: _
Utilities:'nSewer ESeptic
OINNERAE$SMi
Name JOHN RUTKOSKE
Address: 6712 ALEMENDRA ST
City: FORT PIERCE State: FL
Zip Code: 34951 Fax:
Phone No. 772-971-2068
E -Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
OWindows/Doors
L:I Roof O Roof pitch
Building Height:
CONTRACTOR:
Name: JAMES F GRIMES
Company: GRIMES HEATING AND AIR CONDITIONING
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: KAYL.AGRIMESAC@AOL.COM
State or County License: RA0018071
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNE
Name: _
Address:
City:
Zip:
INEER: )(, Not Applicable
Phone:
State:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY
Name:
Address:
City:
Zip: Phone:
certify that no work or installation has commenced prior to the issuance of a permit,
Not Applicable
St. Lucie County 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.
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 our Notice of Commencement.
�atureofer/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF 4T • gfU C i e
The forgoing instrument was acknowledged before me
this &L day of 201f—by
(Name of person acknowledging }
re of Notary Public- State of Flori )
ature of Contractor/License Hol
STATE OF FLORIDA
COUNTY OF _
The forgoing instrument was acknowledged before me
this day of 20 -M- by
�l'�-ytinlrC T� C,.jZl �� C
(Name of person acknowledging)
nature of Notary Public- State of Florida
Personally Known OR Produced identification Personally Known OR Produced Identification
Type of Identificati n Produced Type of Identificat'' nuced
Commission No. ssion No. p,R MON'I'ENEGI20
,.,,,
SUSAN MONTENEG 0 , ..;a;.,;
s MY C0MM142S4ON # GG 0 9U99 MY COMMISSION # GG 089099
��a EXPIRES: Apri12, 2021 'r 2f
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REVIEWS FRONT ZONING SUPERVISOR PIANS VEGETATION SEA TURTLE MANGROVE
DATE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
COMPLETE
INITIALS