HomeMy WebLinkAboutBuilding Permit Application 05-01-18;20: 53 ;From: To:7724621578 ;7724618722 # 2/
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 05/02/2018 Permit Number:
• RECEIVED
Building Permit Application
Planning and Development Services MAY 0 2 2018
Building and Code Regulation Division Permitting
2300 Virginia Avenue,Fort Pierce FL 34982 ST. Ducie County,
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION•
,:
Address: 501 S MARKET AVE
Legal Description: KELLEM'S S/D FROM NW COR OF LOT 9 RUN E 584.16 FT TO POB;TH CONT E 180
Property Tax ID#: 2434-601-0039-000-6 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 5 TON TRANE A/C SYSTEM, 15 SEER WITH 10 KW ELECTRIC
HEAT
CONSTRUCTION'.INFORMATION
... .. .. ...
Additional work oe e orme under this perms —check a appy:
ZHVAC Gas Tank []Gas Piping _Shutters Windows/Doors
11 Electric E] Plumbing Sprinklers []Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First(Floor:
Cost of Construction:S 5,650.00 UtilitiestSewer t�ISeptic Building Height:
OWNERAESSEE CONTRACTOR (,
Name PETER BREWER Name: JAMES F GRIMES
Address:429 S MARKET AVE Company: GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE State:FL Address: 3054 N US HWY 1
Zip Code: 34982 Fax: City: FORT PIERCE State:FL
Phone No,772-643-5390 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: KAYL.AGRIMESAC@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.
05-01-18;20: 53 ;From: To:7724621578 ;7724618722 # 3/ 5
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DESIGNERANGiNEER: Not Applicable MORTGAGE COMPANY: ,Not Applicable {
Name: Name: _
Address. Address; I'
City: State: City: State: '
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER: /,.,,,.Not Applicable BONDING COMPANY: Not Applicable
Name; Name:
Address: Address: t
City: City:
Zip: Phone: zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit,
St.Lucie County makes no representation that is granting a ermit will authorize the permit holder to build the subject structure
which is In conflict with any applicable Home Owners Assocration 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
E
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
commencin work or recordin our Notice of Commencement.
S
S ature of Owner/Lessee Contractor as Agent for Owner ature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 5N-U,t)C_l G COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this '2L day of LN" . 20 Kby this 2..day of IV\Q�y20 ,]jam by
r T1r V1 fE��_ - (:�'R-1 ry/(Name of of person acknowledging) (Name of person acknowledging)
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(Signature of Notary Public-State of Flori ) (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of identificati Produced Type of Identificat n Produced f'
I'
Commission No. ssion No. AN MONTENEGRO
•«�%"". SUSANMONTENEG 0 r���r�.Y:►''
s '�''•' _ ' MY COMMISSION#CSG 089099
W COMMISSION#GG 0 9099 ¢.: i•
EXPIRES:Apel 2,2021 U ws
Revised 07/15/2014 1'""P'+ia ''•' 6Md0d Thor N&wy PWk ur4omrlwct
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS