HomeMy WebLinkAboutBUILDING PERMIT ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/4/2019 Permit Number:
S • , I�
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
Address: 3880 N HIGHWAY Al 904
Legal Description: HIBISCUS-BY-THE SEA CONDOMINIUM BLDG 2 UNIT 904 (OR 1284-1642)
Property Tax ID#: 1423-805-0101-000-1 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
INSTALLATION OF LIKE FOR LIKE 3 TON CARRIER WATER SOURCE HEAT PUMP, 14.7 EER
; €. .
Additional worK to e e orme under this permit c ec a apply..
❑✓ HVAC 11 Gas Tank ❑Gas Piping _Shutter, ❑Windows/Doors
❑Electric ❑Plumbing ❑Sprinklers ❑Generator ❑Roof ❑ Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 4,500.00 Utilities Sewer❑Septic Building Height:
Name CHARLES R BOURBONNAIS Name: JAMES F GRIMES "
Address:3880 N A1A 904 Company: GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE State:FL Address: 3054 N US HWY 1
Zip Code: 34949 Fax: City: FORT PIERCE State:FL
Phone No.772-489-5659 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.
DESIGNER ENGINEER: �o Not Applicable MORTGAGE COMPANY: -14 Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name: 7�'
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lurie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which Is in con ict with any applicable Home Owners Association rules,bylaws or antl 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 1 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.
ature of Owner/Lessee/Contractor as Agent for Owner 5 ature of Contractdr/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTYOF 5C-I JJ (_itr COUNTYOF ST •LIIC lE
The forgoing Instrument was acknowledged before me The forgoing Instrument was acknowledged before me
this�day of ,q n�_ 20 [�by this�day of _'__!_
20 by
(Name of person acknowledging) (Name of person acknowledging)
e—L
(Signature of Notary Public-State of Florid (Signature of Notary Public-State of FloridqT
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identificatio Produced Type of IdentiRcati Produced
Commission N ;;",AN MONWENT&ROCommission No. (Sell)
MY COMMISSION RGG 89099 ,."�F'°fl�j
tc ,'q,• AN MONTENEGRO'•+ MISSION k GG 089099so aed Tnn Nowy Pubic u denm ers)ZCY1SCd�7( " IRES:April 2.2021 Notary Pubic Linden nIm
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS