HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07/09/2018 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 Residential x
PERMIT APPLICATION FOR: Mechanical III
PROPOSED IMPROVEMENT LOCATION: �II
Address: 1201 TROWBRIDGE RD
Legal Description: WEST 40 PLAT (PB 42-21) TRACT 3 (9.69 AC) (OR 1780-1230: 3330-1146)
Property Tax ID #: 2213-503-0003-000-5
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 3 TON TRANE A/C SYSTEM, 15.5 SEER WITH 8 KW
ELECTRIC HEAT
CONSTRUCTION INFORMATION: III
trona work to be Performed under this Dermlt — c ec a t at aoo v:
HVAC IJ
Gas Tank E]Gas
Piping
IJ Shutters 0
Windows/Doors
Electric El
Plumbing
Sprinklers
E Generator 11
Roof = Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 5,300.00
S Ft. of First Floor: _
Utilities: 0 Sewer 0 Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name JAMES R LENTZ
Name: JAMES F GRIMES
Address: 1201 TROWBRIDGE RD
Company: GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE State: FL
Zip Code: 34945 Fax:
Phone No. 772-464-9648
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
it value or Construction is 525uu or more, a RECORDED Notice of Commencement is required.
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FRONT
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
Address:
MANGROVE
City: State:
Zip: Phone:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:fn Not Applicable
Name: T`
BONDING COMPANY:
Name:
Not Applicable
Address:
Address:
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 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
commencine work or recordine vour Notice of Commencement.
pffature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF ST-- �.,UC-1 F.
The forgoing instrument was acknowledged before me
this day of i ) t x X\ i 20 gby
Li
STATE OF FLORIDA
COUNTY OF ST. l uCl E
The forgoing instrument was acknowledged before me
this _q_ day of J% I � S1 20 k� by
l.lF��VQ C JftNES F C.Z\f FSS
(Name of person acknowledging ) (Name of person acknowledging )
(Signature of Notary Public- State of Florida`" (Signature of Notary Public- State of Floride
Personally Known � OR Produced Identification Personally KnownOR Produced Identification
Type of Identification Produced Type of Identificatiofi Produced
Commission N Commission No. (Seal)
;:. SUSAN MONTENEGRO
ION A GG 089099 SUSAN M
',o` EXPIRES. April 2. 2027 MY COMMISSIONOGG 089099
Revised 07/ T +v Noa r Puoi UnO° "" " EXPIRES: Ct° fj APM 2, 2021
BMW TMu Notay PubSc taw,..;,.•..
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