HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/14/19
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 X Residential
PERMIT APPLICATION FOR: Mechanical III
Address: 5051 N HIGHWAY AIAT-3
Legal Description: SEAWARD AT ATLANTIC VIEW UNIT T-3 AND GARAGE UNIT G-36 (OR 3334-1911)
Property Tax ID #: 1414-612-0001-000-0
Site Plan Name:
Project Name: _
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
INSTALLATION OF LIKE FOR LIKE 2.5 TON CARRIER WATER SOURCE HEAT PUMP, 13.5 EER
(NO KW)
HVAC LJ Gas Tank UGas Piping
Electric 0 Plumbing Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 4,742.00
Shutters 0 Windows/Doors
Generator 0 Roof = Roof pitch
Sq. Ft. of First Floor: _
Utilities:[]Sewer[]Septic
Name Gerhard Rieder
Address: 5051 N Highway Al Apt T-3
City: Fort Pierce State: FL
Zip Code: 34949
Phone No. 772-971-1535
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: JAMES F GRIMES
Building Height:
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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Name: MORTGAGE COMPANY: Not Applicable
Address: Name:
City: State: Address.
City:
Zip Phone: Zip: Phone: State: —
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY:
Name: Not Applicable
[Address: Name: �.
Cit Phone: ZipYPhone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucle County makes no representation that is granting a ermit will authorize the permit holder to build the subject structure
which is In conflict with anyi applicable Home Owners Assoclaation rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult t
w h 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 Commencemp.,t
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Sia ure of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA - -- +
COUNTY OFS 1 - f .� y t ( STATE OF FLORIDA
COUNTY OF C CVC t
The forqoing instrument was acknowledge jl efore me The for oing instrument was acknowledged before me
this �I- dayof t
20 by this day of I' 20 � by
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(Name person acknowitidgmg )
Personally Known OR Produced Identification
Type of Identificatl Produced
Commission No.
Revised 07/15/2014
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DATE
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INITIALS
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Personally Known OR Produced Identification
Type of Identificati n Produced
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COUNTER REVIEW REVIEW REVIEW
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