HomeMy WebLinkAboutBuilding Permit Application 10-11-18;01 :07 ;From: To:7724621578 ;7724618722 # 2/ 4
ALL APPLICABLE INFO MIDST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/11/2018 Permit Number: 0 r
.. °1 RECEIVED
Building Permit Application OrT 112018
Planning and DevelapmentServlces
Building and Code Regulation Division ST, Lucie County, Permitting
2300 Virginia Avenue,Fort Pierce FL 34982 -
Phone:(772)462-1553 Fax: (772)462-1578 Commercial x Residential _
PERMIT APPLICATION FOR: Mechanical
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Address: 4500 W MIDWAY RD
Legal Description: Logai Description MODEL LAND GO'S S/D OF 636.40 LOTS 9,10, 11 AND 12 IN NC 1/4-LESS STRIP OF LAND LYG
Property Tax ID#: 3406-501-0014-500-9 Lot No.9t10,11
Site Plan Name: Block No,
Project Name:
Setbacks Front Back: Right Side: Left Side:
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INSTALLED 7.5 TON TRANE A/C SYSTEM WITH 12 KW ELECTRIC HEAT (UNIT#6)
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HVAC �Gas Tank Gas Piping _Shutters �,Windows/Doors
Electric 0 Plumbing ❑Sprinklers Generator Roof Roof pitch
Total Sq, Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 7.468.00 Utilities: Sewer LJ Septic Building Height:
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Name NEW HORIZONS OF THE TREASURE COAST Name: JAMES F GRIMES
Address:4500 W MIDWAY RD Company: GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE State:FL Address: 3054 N US HWY 1
Zip Code: 34981 ^ Fax: City: FORT PIERCE State:F[,
Phone No.772-380-2291 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 valup of rcinstrurfinn is S25Iln ac marp.a RErnRnpn Notice of r ommencamoot is coauicod
10-11-18;01 :07 ;From: To:7724621578 ;7724618722 # 3I 4
i
1211 a 011 NA
DESIGNER/ENGINEER: o Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: I state: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE MOLDER: Not Applicable BONDING COMPANY: 73
Not Applicable
Name: Name:
Address: Address:
City: City:
Zip' Phone: Zip:_ Phone:
1 certify that no work or Installation has commenced prior to the issuance of a permit.
St,Lucie Count�f�l makes no representation that Is granting a permit will authorize the permit holder to build the subject structure
s
structure.Please consultwTth your Home OOwners
ers Ass Assoc
deed f r any restrictions wrestrictiapply!bit such
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
commencing work or recording our Notice of Commencement.
�.-a-►— 5
*a'tu&re of Owner eezee Contractor as Agent for Owner Nature of Contractor/License Holder
019,
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF51,l-tic t COUNTY OF - `( .
The forgoing Instr ment was acknowledged before the The forgoing instrument was acknowledged before me
this,Lj 1 day of �, 20 IZ_by this„L�_day of -A—Af 1L7 C.��20 , _%_by
(Name of person acknowledging) (Name of person acknowledging)
{Signature of notary Public-State of Florid (Signature of Notary Public-State of florid
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification P uced Type of Identificati Produced
Commission N AN MON Ro commission No. (Seal)
`�. i MYCOMMISSION#GG 089099 ; "f��. SUSAN MONTENEGRO
EXPIRES'M 2,2021Revised 07/ *r : Smdod Thru Notary Pu*UndorvR+m ; c•= WIRES,
Ap �G2 089U99
•,' "azo p�,� EkP1RES:April 2 2021
,o•.". WKk1d 7tiru NQUy Pu*i1WVV Mers
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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