HomeMy WebLinkAboutBuilding PERMIT ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR
Date: 03/25/2019
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34981
Phone. (772) 462-1553 Fax: (772) 462-1578
TO BE ACCEPTED
Permit Number:
Building Permit Application
Commercial Residential X
PERMIT TVPE:A/C CHANGE -OUT
PROPOSED IMPROVEMENT LOCATION:
Address: 818 DOUBLOON LN
Property Tax ID It: 1410-502-0247-000-6 Lot No._
Site Plan Name: Block No.
Project Name: A/C REPLACEMENT
DETAILED DESCRIPTION OF WORK: I
LIKE FOR LIKE REPLACEMENT OF (1) 2.5 TON CARRIER AIC SYSTEM, 14 SEER WITH 10 KW ELECTRIC HEAT.
I
CONNECT TO EXISTING DUCTWORK, DRAIN, HIGH AND LOW VOLTAGE ELECTRIC.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit–check
Mechanical _ Gas Tank _ Gas Piping
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 4.935.00
Uti
that apply:
Shutters
Generator
Ft. of First Floor:
Sewer — Septic
Windows/Doors
Roof Pitch
Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name JAMES F WOLTER
Name: JAMES F. GRIMES
Address: 818 DOUBLOON LN
Company: GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE State.—VL
Zip Code: 34949 Fax:
Phone No. 616-638-6341
E -Mail:
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 ROBERTGRIMESAC@AOL.COM
State or County License 4426
i
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 permit, solder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and cove nts that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any estrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, In all i 2spects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amefidments.
The following building permit applications are exempt from undergoing a full concurrency re view: 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 I.esult 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 recordine your Notice of Commencement.
S •nature (pruner/ Lessee/Contractor Agent for Owner
DESIGNER/ENGINEER: _
Name:
Not Applicable
of as
MORTGAGE COMPLY:
Name:
Address:
City:
Zip: Pho'Ine:
_ Not Applicable
Address:
STATE OF FLORIDA
I
City: State:
Zip: Phone
COUNTYOF
Stater
acknowledged before me
FEE SIMPLE TITLE HOLDER: _
Name:
Not Applicable
this day of M.41rC6ce_ .26_Mby
BONDING COMPA
Name:
Address:
City:
Zip: PhoIII
_Not Applicable
Address:
I
City:
Zip: Phone:
Name of perso "
e:
Personally Known OR Produced Identification
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 permit, solder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and cove nts that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any estrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, In all i 2spects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amefidments.
The following building permit applications are exempt from undergoing a full concurrency re view: 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 I.esult 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 recordine your Notice of Commencement.
S •nature (pruner/ Lessee/Contractor Agent for Owner
S Oature Contractor/
icense Hoider
of as
of
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTYOF
T L-LPc'/&
acknowledged before me
The fo„ging instrument was acknowledged before me
The forgoing instrument�was
this day of M.41rC6ce_ .26_Mby
this _ day of
20 by
Name of person making statement
Name of perso "
making statement
Personally Known OR Produced Identification
Personally Known
OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
Signature of Notary Public- State of Florid)
(Signature of Notary Public-
State of Florida )
Commission No. TEP.. vR0
Commission No.
SJS�:4=(Seal).= R4 ---_
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REVIEWS
FRONT ZONING SUPERVISOR
PLANS
VEGETATION
SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW
REVIEW
REVIEW
REVIEW REVIEW
DATE
RECEIVED
J
DATE
l
COMPLETED
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Rev. 8/2/17