HomeMy WebLinkAboutBuiding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07/10/2018 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
PROPOSED IMPROVEMENT LOCATION:
Address: 14 SOVEREIGN WAY
Legal Description: QUEENS COVE- UNIT 1 - BLK 20 LOT L
Property Tax ID #: 1414-701-0204-000-6 Lot No. L
Site Plan Name: Block No. 20
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF LIKE FOR LIKE 4 TON TRANE A/C SYSTEM, 16 SEER WITH 10 KW ELECTRIC
HEAT
CONSTRUCTION INFORMATION:
Additional work to be e11111 1111un ert111,1pinill c a111, ppy:
HVAC Gas Tank ❑Gas Piping _ Shutters Windows/Doors
11 Electric 0 Plumbing Sprinklers ElGenerator Roof Roof pitch
Total Sq. Ft of Construction: 4,485.00 SrI�Ft.I of First Floor:
Cost of Construction: $ Utilities: �ISewer ❑Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name SCOTT DAMATO
Name: JAMES F GRIMES
Address: 14 SOVEREIGN WAY
Company: GRIMES HEATING AND AIR CONDITIONING
City: HURCHINSON ISLAND State: FL
Address: 3054 N US HWY 1
Zip Code: 34949 Fax:
City. FORT PIERCE State: FL
Phone No. 772-633-0574
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: KAYLAGRIMESAC@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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: i I
DESIGNER/ENGINEER: Z Not ApplicableMORTGAGE COMPANY: >O Not Applicable
Name: Name: i
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
Not Applicable I BONDING COMPANY:
Name: _
Address:
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
71-_0
- Not Applicable
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
c
.Wature of Owner/Lessee/contractor as Agent for Owner
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Sr- uU t e COUNTY OF ST. LA2 r=a h
The forgoing instrument was acknowledged before meI The forgoing instrument was acknowledged before me
this t0 day of � %A W 20 _by this Q_ day of ,I 1A 1 \, 20 V� by
1,1RYH S F GZUM c IIN S5 F
(Name of person acknowledging) (Name of person acknowledging)
Islgnature of Notary Public- State of Florida (Signature of Notary Public- State of Florid
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identifica Type of Identifica
SUSAN MONTENEGRO "'dam"�
r•w ,ty.• SUSAN MC TEN
' .... 0
Commission No. ..t :.= MYCOMI&(IN#GG0&9099 Commission No. OMMISSId �f
EXPIRES: April 2,2021 Fxomorn.-�.__�5��
--.
Revised 07/15/2014
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