HomeMy WebLinkAboutBuilding Permit ApplicaitonAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5-2-19 Permit Number:
COUNTY
r I rI n 1 e
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL .4982
Phone: (772) 452-1553 Fax: (772) 462-1578
Building Permit Application
PERMIT TYPE: PJC CHANGE -OUT
PROPOSED IMPROVEMENT LOCATION:
Address: 2711 HIGHWAY Al UNITE
Property Tax ID #: 1425-701-0167-220-6
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Commercial Residential X
Lot No._
Block No.
LIKE FOR LIKE REPLACEMENT OF (1) 2.5 TON TRANE A1C SYSTEM, 16.5 SEER WITH 8 KW ELECTRIC HEAT.
CONNECT TO EXISTING REFRIGERANT LINES, DRAIN, DUCTWORK, HIGH AND LOW VOLTAGE ELECTRIC.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit– check all that apply:
)(Mechanical Gas Tank Gas Piping
_ Shutters _ Windows/Doors
Electric Plumbing _ Sprinklers
_ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
Cost of Construction: $ 5,760.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name JOHN SWEIGART
Name: JAMES F. GRIMES
Address: 4103 SMOKEY PINES CT.
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. 772-349-5566
Zip Code: 34946 Fax: 772-461-8722
E -Mail: JOHNSAILS@HOTMAIL.COM
Phone No 772-461-8711
Fill in fee simple Title Holder on next page ( if different
E -Mail ROBERTGRIMESAC@AOL.COM
from the Owner listed above)
State or County License 4426
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 gFanting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and 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, 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 Commencement.
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DESIGNER/ENGINEER:
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
COUNTY OF -- e, c--
Address:
The for oing instrument was acknowledged before me
�
City:
State:
City:
State:
Zip: Phone
Name of person making statement
Zip: Phone:
Personally Known,,"�. OR Produced Identification
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY:
Not Applicable
Name:
Name:
Signature of Notary Public- State of Florid )
Address:
Commissibn No. A= SU} tI N#N E E}NEGRO
Address:
City:
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Zip: Phone:
REVIEWS
Zip: Phone:.
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 gFanting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and 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, 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 Commencement.
Rev. 8/2/17
Si ature of Owner/ Lessee/Contractor as Agent for Owner
5 ature of Contractor/License Holder
STATE OF FLORIDA
ST LGA
STATE OF FLORIDA L
COUNTY OF -- e, c--
COUNTY OF
The for oing instrument was acknowledged before me
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The for oing instru ent was acknowledge before me
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this day of I�t+c'.A —,26B by
this day of 201, by
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Name of person making statement
Name of person making statement
Personally Known,,"�. OR Produced Identification
Personally Known �s— 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 )
Commissibn No. A= SU} tI N#N E E}NEGRO
Commission No.
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17