HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02/12/2019 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: 8850 HIDDEN PINES ROAD
Legal Description: 23 35 39 N 496.77 FT OF W 1/4 OF NW 1/4 OF SW 1/4 -LESS W40 FT OF RD RM- (3.42 AC) (OR 2548-1334)
Property Tax ID #: 2323-322-0001-000-4
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
INSTALLATION OF LIKE FOR LIKE 5 TON TRANE A/C SYSTEM, 16 SEER WITH VARIABLE
SPEED AIR HANDLER AND 10 KW ELECTRIC HEAT
L)JHVAC LJ Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 6,292.00
Name SHANNON J QUERY
Address: 8850 HIDDEN PINES RD
City: FORT PIERCE
Zip Code: 34945 Fax:_
Phone No. 772-579-8952
unaertnispermit
— check all
apply:
❑Gas
Piping _
Shutters Q Windows/Doors
Sprinklers
Generator 0Roof = Roof pitch
SqI FFttt of First Floor: _
Utilities: Ft
oSeptic
Building Height:
Name: JAMES F GRIMES
Company: GRIMES HEATING AND AIR CONDITIONING
State: FL Address: 3054 N US HWY 1
City: FORT PIERCE State: FL
Zip Code: 34946 Fax: 772-461-8722
Phone No. 772-461-8711
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: KAYLAGRIMESAC@AOL.COM
State or County License: RA0018071
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
IName: Y, --- I WtI,,,.a..,c
----------------------
Address:
City: State:
Zip:Phone:
FEE SIMPLE TITLE HOLDER: 7.
Name: Not Applicable
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:uui
Not Applicable
Name:
-y&
Address:
City:
Zip: _ Phone:
State:
BONDING COMPANY;
Not Applicable
Name:
Address:
City:_
Zip: Phone
I certify that no work or installation has commenced prior to the issuance of a permit.
:t. Lucie Countv ma4ne ......_______. .
mw 13 IO COnNIM with any appj1.-"--11cblme Owners ASsociationi rules bylaws Of anoscovenants 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 jobor j
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recordin our Notice of Commencement.
C
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this 'Z day of� 20 --F ,G`by
(Name of person acknowledging)
Personally Known
Type of Identification rode
Commission No.
Revised 07/15/2014
REVIEWS FRONT
COUNTER
DATE
COMPLETE
INITIALS
OR Produced Identification
cad
aw4w
STATE OF FLORIDA
COUNTY OF_ T )�
The forgoing instrument was acknowledged before
this dL— day of _51�0
20 by
�&aV�nC
(Name of person acknowledging )�
Type of
ZONING SUPERVISORI PLANS
REVIEW REVIEW REVIEW
--viary Public- State of Florida )
Known
OR Produced Identification
ntificati Produced
I No.
r� n% AN MONTENEGRO
A MY COMMISSION 8 GG 0891
VEGETATION I SEA TURTLEI MANGROVE
REVIEW REVIEW
REVIEW