HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I - 153
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34981
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 3.30��NCL J& f'rVe
Legal Description: %�E.AYl P,.S Qk Q_ V—_&N I a JAYP f (moi 5 L In b y�
Property Tax ID #: Z3 Dq 5 h 1 - 000-1- C00 - 2. Lot No..1 4 --
Site
-Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Y\S k 0. � c -•r Q 1 k f' faY 1i 3 Tr'7N Y0_.YOt 1°'s (C_
(;;4 SVCA-'A y o5 5 t'E-i: W kj-�'\ to Y_' W VkCIC)1-
CONSTRUCTION INFORMATION:
Additional work to e e Orme under this perms -check a appy:
'Ell VAC f] Gas Tank E]Gas Piping _ Shutters Windows/Doors
11 Electric 0 Plumbing Sprinklers El Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 3 r q ot) • C)o Utilities:t Sewer E]Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Namebl)y 1 55, V-01aQ e-t.S
Name: JAMES F GRIMES
Address: SSU) VAnne YrikA
City: T-� X' e-vit-C State: jam.
Zip Code: :340t'45 Fax:
Phone No. -%-i 1--ZkU - Z
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Company: GRIMES HEATING AND AIR CONDITIONING
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: KAYLAGRIMESAC@AOL.COM
State or County License: RA0018071
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER ENGINEER: -7110 Not Applicable
Name:
MORTGAGE COMPANY•Not Applicable
Name: 74
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: 4 Not Applicable BONDING COMPANY:Not Applicable
Name: Name: 74
Address: Address:
City: City:
Zip Phone: Zip: Phone:
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 hermit will authorize the permit holder to build the subject structure
which Is in conflict with any applicable Nome 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 the Florida
plans, 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 intend to financing,
you obtain consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
c
afore of Owner/Lessee/Cantractor as Agent for Owner afore of Contractor/License Holder $
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF C COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this G _ day of _ KO V . , 20 l�by this 1�1 day of N p . 20 by
_a
'L,iFc'Mi_5
F_ -LE k M F_C 5 IF-
(Name of person acknowledging) (Name of person acknowledging )
(Signature of Notary Public- State of Florida(Signature of Notary Public-State�Flond���
Personally known OR Produced Identification Personally Known — ; OR Produced Identification
Type of Identification iTroduced Type of Identification Produced
Commission NMON 4 RO Commission No.Su A (Seal(
MYCOMMISSIONf.GG08909'4 SUSAN MONTENEGRO
Revised �%!� krded Thr Notary Pt, & Urder«nlen i� •: MMISSION k GG 089045
EXPIRES. Ap12.2021
!da. Ilmded Thu Notary p,",; L,4,,,,tM
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW
REVIEW REVIEW
DATE
COMPLETE
INITIALS