HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01/30/2019 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 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
Address: 227 RIVER WALK UNIT 14
Legal Description: RIVERWALK AT SANDS UNIT 14 (OR 3731
Property Tax ID #: 1425-566-0014-000-8
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
INSTALLATION OF LIKE FOR LIKE 3 TON TRANE HEAT PUMP, 14.5 SEER WITH 5 KW ELECTRIC
HEAT
— cnecK a
HVAC LJ Gas Tank UGas Piping
Electric 0 Plumbing Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 4,882.00
Name CLIFF WASSEL
Address: 639 N SHORE RD PECK LAKE
Shutters ❑ Windows/Doors
Generator Roof = Roof pitch
S Ft. of First Floor:
Utilities:SewerOSeptic Building Height:
City: GLOVERSVILLE State: NY
Zip Code: 12078 Fax:
Phone No. 518-461-0714
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: JAMES F GRIMES
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
value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
I 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 ermit 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 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
Commencinh work or recording your Notice of CommenrPmpnr
/N
AMt
Suture of Owner/Lessee/Contractor as Agent for Owner nature of Contractor/License Holder S
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St l t 1 r 11= COUNTY OF } y , L
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of i Q zO(-Dy this ��Jay of 20 IG} by
f1n�S �-+
r on (ckno F r t
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public- State of Flori ) (Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification Personal) Known
Type of Identificatio Produced y R Produced Identification
Type of Identificatio roduced
Commission No. - ---- No. -
Revised 07/15/2014
REVIEWS FRONT I
COUNTER I REVIEW W I SUPERVIS REVIEWOR I RELVIIEW
INITIALS
0%"AN MONTENEGRO
MY COMMISSION 00 08:
VEGETATION SEATURTLE I MANGROVE,
REVIEW REVIEW REVIEW
TM
7i
DESIGNER/ENGINEER.
Not Applicable
MORTGAGE COMPANY:
Not Ap licca'-blie
Name:
Name:
p,
I,
Address:
Address:
City:
Zip: Phone:
State:
City:
Zip:
State:
Phone:
FEE SIMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY:
Not Applicable
Name:
Name:
Address:
City:
Zip: Phone:
Address:
City:
Zip: Phone:
I 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 ermit 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 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
Commencinh work or recording your Notice of CommenrPmpnr
/N
AMt
Suture of Owner/Lessee/Contractor as Agent for Owner nature of Contractor/License Holder S
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St l t 1 r 11= COUNTY OF } y , L
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of i Q zO(-Dy this ��Jay of 20 IG} by
f1n�S �-+
r on (ckno F r t
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public- State of Flori ) (Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification Personal) Known
Type of Identificatio Produced y R Produced Identification
Type of Identificatio roduced
Commission No. - ---- No. -
Revised 07/15/2014
REVIEWS FRONT I
COUNTER I REVIEW W I SUPERVIS REVIEWOR I RELVIIEW
INITIALS
0%"AN MONTENEGRO
MY COMMISSION 00 08:
VEGETATION SEATURTLE I MANGROVE,
REVIEW REVIEW REVIEW