HomeMy WebLinkAboutBuilding Permit ApplicaitonALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01/15/2019 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 Commercials Residential 4?!2_
PERMIT APPLICATION FOR: Mechanical III
Address: 809 OSPREY CT
Legal Description: OCEAN RESORTS COOPERATIVE SITE 350
Property Tax ID #: 1410-502-0350-000-1
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
INSTALLATION OF LIKE FOR LIKE 3 TON CARRIER PACKAGE UNIT, 14 SEER WITH 8 KW
ELECTRIC HEAT
Z✓ HVAC 0— Gas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 3,485.00
Name ROSALIND MICHAEL
Address: 14829 KEY LIME BLVD
City: LOXAHATCHEE
Zip Code: 33470 Fax:
Phone No. 616-638-4166
Pu um—Lnecrt du
Gas Piping _
dpPly:
Shutters
❑
Windows/Doors
Sprinklers
Generator
Roof Roof pitch
_
Utilities:SewerElSeptic
S'c
Ft. of First Floor:
Building Height:
Name JAMES F GRIMES
Company: GRIMES HEATING AND AIR CONDITIONING
State:FL
Address: 3054 N US HWY 1
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
If value of construction is
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
or more, a RECORDED Notice of Commencement is required.
Name:
Address:
City: State:
Zip: Phone:
MORTGAGE COMPANY:✓1 Not Applicable
Name: 7'`
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: �CI Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no y work or installation has commenced prior to the issuance of a permit.
St.
Is In confllcmiawith any applicable lHO e Owners AsssociationlrulesabY aws or andpermit ants that build
ay estrlctborprohib� 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
commencing work or recording your Notice of Commenrempnt
L4
.Wature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA STATE OF FLORIDA
COUNTYOF Si I )c Vli_� COUNTY OF—ST 0 C lE
The forgoing instrument was acknowledged before me The forgoing instrumentwas ledged before me
this day ofJ�ln V 20 ]by this J 5 day ofJa VQC1 rl J 1, 20 (::71 by
1 J P MF Z r RIMES c4EANt 7_c
(Name of person acknowledging) (Name of person acknowledging )
(Signature of Notary Public- State of Florid (Signature of Notary P\�ub/li�c-State of Florid
Personally Known. -OR Produced Identification Personally Known �JOR Produced Identification
Type of Identification Produced Type of Identification PFoduced
Commission:�
7,'i
miSAN
Commission No.
(Seal
PLANS
MY COMMISSION K GG 089099
MANGROVE
•'i',,�.:_�`
612.2021
.°
.. .g_;,
SUSAN MONTENEGRO
REVIEW
8ond1d Thm NotaO'
REVIEW
REVIEW
DATE
Revised 07
1 _5<
EXPIRES: April 2. 2021
COMPLETE
&riled Thm NotaryPuVK U1Ietwntm
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS