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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) 462-1575 Commercial Residential X PERMIT APPLICATION FOR: Mechanical ' +C Pa iIUI RC3'u!EMEN T` LpAT ON Address: 6609 GAVIOTA Legal Description: SPANISH LAKES FAIRWAYS BLK 38 LOT 7 (OR 1265-100) Property Tax ID #: 1306-500-0022-000-7 Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: Lot No. 7 Block No. 38 [PETAILED QCRlP'i1dN UF WORK: I INSTALLATION OF LIKE FOR LIKE 3.5 TON TRANE HEAT PUMP, 14 SEER WITH 5KW ELECTRIC HEAT Name BEVERLY REED Address: 6609 GAVI OTA City: FORT PIERCE State: FL Zip Code: 34951 Fax: Phone No. 772-489-5524 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) 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: 772-4618722 Phone No. 772-461-8711 E -Mail: KAYLAGRIMESAC a@AOL.COM State or County License: RA0018071 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. WG01%X1VCKJC1VU1MttK: x Not Applicable Name: Address: City: State: Zip: Rhone: FEE SIMPLE TITLE HOLDER: Name: _ Address: City X Not Applicable MORTGAGE COMPANY: x Not Applicable ....., Name: Address: City: State: Zip: Phone: BONDING COMPANY: x Not Applicable Name: Address: Zip: Phone: City: Zip: _ . Phone: I certify that no work or Installation has commenced prior to the issuance hof a permit, St. is f p nn i wit anyyr ap licit elHome Oiwners Assoclatloniru es btlawsZor an�{�eouenaroitsthat maya estr�ct of prohrlbit such structure. Pease consult wlthpyour W�ame Owners Association and revfew 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 fallowing 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-resldential 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 NatirP of r e of Owner/Lessee Contractor as Agent forOwner OF FLORIDA YQF� The forgoing instrument was acknowledged before me this . �'b day of2Q Eby (Name of person acknowledging) gnature of Notary Publlc State of Florid } Personally Know OR Produced Identification Type of Identification no-- - - -- Commission No. Revised 07/15/2014 MY CflOMPN # (313089099 EiGPIRES:l2.2021 9ondea Thea hoary UaderwdM C_ STATE OF FLORIDA CDUNN O—,�`�� tF The forgoing instrument was acknowledged before me this Lrl day of 2-f e � 20 1 by (Name of person acknowledging Notary Public- State of Personally Known -..- OR Produced Identification_ Type of Identifica off' n produced Commission No. SUSAN ("NEGRO +r' MY COMMISSION # GG 089099 "a,. 'it,,y° Banded inti Notan+'A�blle u 21 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW RATE REVIEW REVIEW COMPLETE INITIALS