HomeMy WebLinkAboutBuilding Permit Application (2)ALL APPLICABLE INTO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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 7_
Address: _303 O ltc .�o_ ktJ 0.
Legal Description: zj ?jli L -(U %A O V: rv� �/� { — r � tI IOQ
Y Et< PtA
PropertyTax ID fl: 1!:tS5 2-1 b0� 3 -L� 0(7 - Lot No.
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
Block No.
DETAILED DESCRIPTION OF WORK:
Tb N
CONSTRUCTION INFORMATION:
CONTRACTOR:
Name fGP�lsrt� x Y_ Tait P i V%f_& l -L_c _ _
Name: JAMES F GRIMES
orme un er
Additional work o OGasTank
VAC
is perms -c ec
❑Gas Piping
a appy:
_ Shutters
❑Windows/Doors
Electric El Plumbing
Sprinklers
F-1 Generator
Roof u Roof pitch
Total Sq. Ft of Construction:
Fill in fee simple Title Holder on next page (if different
Sq. Ft. of First Floor:
State or County License: RA0018071
from the Owner listed above)
E
Cost of Construction: $ T R'S -CSO
Utilities:
Sewer Septic
Building Height:
OWN ERAESSEE:
CONTRACTOR:
Name fGP�lsrt� x Y_ Tait P i V%f_& l -L_c _ _
Name: JAMES F GRIMES
Address: I o50 Gln V? 01
Company. 'GRIMES HEATING AND AIR CONDITIONING
Address: 3054 N US HWY 1
City: hQa,.1 jOy V_ State:
Zip Code: IM A ' 0%5 Fax:.
City: FORT PIERCE State: FL
Phone No. 31"S - S5T -Z1o39
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
E -Mail: KAYLAGRIMESAC@AOL.COM
State or County License: RA0018071
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Name: _
Address:
City: ,
Zip:
Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
Not Applicable I MORTGAGE COMPANY: 7' '0 Not Applicable
Name:
State
Not Applicable
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
,4Not Applicable
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 spaying 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 your Notice of Commencement.
.fature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF T. COUNTYOF__
The forgoing Instrument was acknowledged before me The forgoing instrument was acknowledged before me
this $ day of V . 20 ]aby this � day of IN 0 20 by
(Name of person acknowledging) (Name of person acknowledging)
n
(Signature of Notary Public- State of Florid
Personally KnownOR Produced Identification
Type of Identiflptio Produced
of Notary Public -State of
Personally Known _�, OR Produced Identification
Type of Identificatl9A Produced
CommLssion N AN MGhRD Commission No.
,.� •�.. � „
MY COMMISSION i GG 089Q49
Revised Ll; / hif�'f.f.�'' Ba�4eA Tdr; roa�y u+,�rm
(Seal)
SUS_CUAN M4NTENEGR
MAWZ 1ON / {,C, MW
EVIRES. Apni? 2021
&WPd nr„ u,,.,._. 6 .
REVIEWS FRONT ZONING SUPERVISOR
DATE COUNTER I REVIEW REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
COMPLETE
INITIALS