HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07/09/2018 Permit Number:
s J
• 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: 1200 TROWBRIDGE RD
Legal Description: EAST 40 PLAT (PB 42-20) TRACT 3 (8.06 AC) (OR 1835-398: 2853-1399: 3366-835)
Property Tax ID #: 2213-502-0003-000-2
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: III
INSTALLATION OF LIKE FOR LIKE 4 TON TRANE A/C SYSTEM, 16 SEER WITH 10 KW ELECTRIC
HEAT
CONSTRUCTION INFORMATION:
itIona wor to e e orme under t–checkispermit a appy:
❑✓— HVAC 11 Gas Tank DGas Piping Shutters O Windows/Doors
11 Electric 0 Plumbing Sprinklers 11 Generator E]Roof = Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 4,000.00
S Ft. of First Floor: _
Utilities:cn Sewer []Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name GLENN E LENTZ
Name: JAMES F GRIMES
Address: 1200 TROWBRIDGE RD
Company: GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE State: FL
Zip Code: 34945 Fax:
Phone No. 919-244-0318
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 of construction is>teuU or more, 2 RtCURUhD Notice of Commencement is required.
,SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: tN Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name: /
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Address:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Count 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
c
ature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST, l or 11: COUNTY OF 5t LA) CA C—
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this QL day of J k`\b V 20 >8—by this OL day of I Ll_T_ 20 k%_ by
1 "I gm s ~r J-Rrn>-S r
(Name of person acknowledging) (Name of person acknowledging)
(Signature
of Notary Public -State
Personal) Known OR Produced Identification Personal) Known OR Produced Identification
V Y
Type of Identificatio Produced Type of Identification P oduced
Commission No.
Revised
REVIEWS
INITIALS
Commission No.
SUSAN MONTENEGRO
EXPIRES: April 2.2021
BOMA ThN Nuri I'OIk unanr "*M
FRONT � COUNTER ROEVI W I S REVIEWOR I REVIEW
PLANS
MY COMMISSION 0 GG 089099
FXPRES:PkPR 1, 2.021
aWded TTWU N t y Publk uld&n�
VEGETATION I SEA TURTLE I MANGROVE
REVIEW REVIEW REVIEW