HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 05/08/2018 Permit Number:
saw
• 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
ED IMPROVEMENT LOCATION:
Address: 6007 PETTICOAT PL
Legal Description: PALM GROVE S/D BLK K LOT 31
Property Tax I D #: 3410-503-0331-000-1
Site Plan Name:
Project Name:
Setbacks Front Back:
DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No. 31
Block No. K
INSTALLATION OF LIKE FOR LIKE 3.5 TON TRANE HEAT PUMP, 14 SEER WITH 5 KW ELECTRIC
HEAT
CONSTRUCTION INFORMATION: I
Lt (HVAC L_I Gas Tank UGas Piping L_J Shutters
Electric 0 Plumbing Sprinklers Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 5,588.00
S Ft. of First Floor: _
Utilities:cn Sewer 0 Septic
OWindows/Doors
DRoof = Roof pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name ERIC RUBIN
Name: JAMES F GRIMES
Address: 6007 PETTICOAT PL
Company: GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No. 772-595-6480
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.
.PIrEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
ue3I0l1JtK/tNbINttH: )L_ Not Applicable MORTGAGE COMPANY: Not Applicable '
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
X_ Not Applicable
BONDING COMPANY:
Name: _
Address:
Zip: Phone:
Applicable
certify that no
oy work or installation has commenced prior to the issuance of a permit.
St.
is Inc onflicmt with any applicable Home Owners Association) rules authorize
bylaws or the
covenants that may restrictb0 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.
i
The followingbuilding g 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 your Notice of Commpm-pmanr
as
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St_ L.V[ COUNTY OF ST . LA)C t E
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 06 day of IVt 0,%I 20 I& -by this -L_ day of _�`� a7_ 20 % F, by
(Name of person acknowledging) (Name of person acknowledging )
of Notary Public- State of
Notary Public- State of Florida
Personally Known �OR Produced Identification Personally Known �� OR Produced Identification
Type of Identificatio Produced Type of Identifica Produced
Commission No.
SUSAN
Revised 07/15/2014
No.
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