HomeMy WebLinkAboutBuilding Permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02/05/2019 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
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Address: 25 LA VILLA WAY
Legal Description: ALL THAT PART LYG NELY OF 1-95-LESS SPANISH LAKES FAIRWAYS(PB 35-5)AND LESS THAT PART MPDAF
Property Tax ID#: 1306-111-0001-000-0 Lot No`!%-
Site Plan Name: Block No.'19-
Project Name:
Setbacks Front Back: Right Side: Left Side:
INSTALLATION OF LIKE FOR LIKE 4 TON CARRIER PACKAGE UNIT, 14 SEER WITH 10 KW
ELECTRIC HEAT
Additional work to
MEM .
e e apply:
❑HVAC Gas Tank .. .. ,.. ...i.v .:i
�GasPiping _Shutters Windows/Doors
11 Electric Plumbing Sprinklers E Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 4.992.00 Utilities:0Sewer Septic Building Height:
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Name Wynne Building Corp Name: JAMES F GRIMES
Address: 12804 SW 122ND AVE Company: GRIMES HEATING AND AIR CONDITIONING
City: MIAMI State:FL Address: 3054 N US HWY 1
Zip Code: 33186 Fax: City: FORT PIERCE State:FL
Phone No.772 460-0429 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: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
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.Lucie count,makes no representation that is granting a Fa
will authorize thedpermit holder to build the subject structure 1
which is in conflict with an,applicable Home Owners Assoc ation rules,bylaws or an 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,)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.
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ature of Owner/Lessee/Contractor as Agent for Owner ature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF ST • L,U 0
The forgoing instrument was acknowledge before me The forgoing instrument was acknowledged before me
this�day of_'R 20 -4by this_t ,day of 20 by
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(Name of person acknowledging) (Name of person acknowledging) T—
(Signature of Notary Public-State of Rod ) (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identificatio Produced Type of Identificatiot Produced
Commission No. sslon No. AN MONTENEGRO
ytgi, SuSANMONTENEG ev4an;
='ra MYCOMMISSIONkGGO 9D99 ': f, my COMMISSION$GG089I99
f``�c9aMedfituRES: ix112 112 1en h; J;�q°a�' BondedSNuNaaY Put:&
Revised07/15/2014 ^'••Its'
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW I
DATE
COMPLETE
INITIALS