HomeMy WebLinkAboutBuilding Permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02/06/2019 Permit Number:
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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
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Address: 14185 CANCUN AVE
Legal Description: 06 34 39 THAT PART OF SEC AS SHOWN IN OR 2380-1934 BEING LOT 14185 CANCUN AVENUE(BLK 23 LOT 9)
Property Tax ID#: 1306-501-0297-000-8 Lot No.9
Site Plan Name: Block No. 23
Project Name:
Setbacks Front Back: Right Side: Left Side:
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INSTALLATION OF LIKE FOR LIKE 2.5 TON TRANE HEAT PUMP, 14 SEER WITH 5 KW ELECTRIC
HEAT
VHVa war to e e orme un ert Ispermit—c ec a appy: 11 Windows/Doors
0 Electric 0 Plumbing Sprinklers Generator 0 Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 4,682.00 Utilities: Sewer Septic Building Height:
�.:
Name EDWARD W DWYER III Name: JAMES F GRIMES
Address: 14185 CANCUN AVE Company: GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE State:FL Address: 3054 N US HWY 1
Zip Code: 34951 Fax: City: FORT PIERCE State:FL
Phone No.772-882-9269 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.
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DESIGNER ENGINEER: Not Applicable MORTGAGE COMPANY: �C,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:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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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 aut�orize the ermit holder to build the subject structure !
which is in conflict with an applicable Home Owners Association rules,by aws or and covenants that may restrict or prohibit such
structure.Please consult wyith 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
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WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for j
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.
(1�- S
ature of Owner/Lessee/Contractor as Agent for Owner ature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF 5T • t_U c 1 j
The forgoing instrume I t was acknowledged before me The forgoing instrument was acknowledged before me
this 1� day of J Qe YT 1Ll C 1. 20 L'A-by this—5—day of (=i°AQ"QAMj.20 1_9_by .
(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 Personally Known OR Produced Identification
Type of Identiflcatl n Produced Type of Identifica n Produced
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Commission No. I ssion No.
SUSAN MONTENEG 0 f;.ta""z AN MONTENEGRO
+ '�• _'F h' MYcoMMISSiON#GG 089099
MYCOMMISSION#GG 9D99 i• 1
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Revised 07/15/2014 ",,, — l
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