HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 84-19 Permit Number:
RECEIVED
•UNTY
- - - Building Permit Appl'cationG 2 ?�'9
ST. Lucie Coun
Planning and Development Services ty, Permitting
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMITTYPE:A/C CHANGE-OUT
PROPOSED IMPROVEMENT LOCATION:
Address: 7173 S US HWY 1
Property Tax ID#: 3422-211-0010-000-6 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WO`RK.::.
LIKE FOR LIKE REPLACEMENT OF(1)3 TON TRANE A/C SYSTEM, 14 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:
Lmechanical _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:$ 6,385.00 Utilities: —Sewer —Septic Building Height:
OWNER%LESSEE: CONTRACT,.OR:
Name PORT SAINT LUCIE PLAZA I Name:JAMES F.GRIMES
Address:7115 S US HIGHWAY 1 Company:GRIMES HEATING AND AIR CONDITIONING
City: PORT SAINT LUCIE State: Address:3054 N US HWY 1
Zip Code: 34982 Fax: City: FORT PIERCE State:FL
Phone No.772-877-1169 Zip Code: 34946 Fax: 772-461-8722
E-Mail:NA 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.
4
9 'h4 lead: r C't. N.0
`1Fa-'kU .ea� y ri Re,
". WN
.x'g—r :^.
,``'`f"h Lx: to ! tx a`'`.s...r .h, :;a �xr .* 'i''•� Yr-x�'.e 'x:*'x ' z '.v r�,`g rf.''`a .c'' " �' y '.e
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:
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 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
commencinR work or recordina your Notice of Commencement.
�.
Si ature of Owner/LesseefContractor as Agent for Owner ature of ContractoriUcense Holder
STATE OF FLORIDA STATE OF FLORIDA K
COUNTY OF ST L,t elc--' COUNTY OF 5,7 ZQr,,e
The for oing instr ent was acknowledged before me The forgoing instrument was acknowledged before me
this"Zday of WA 20 by this_qday of .20 j� by
Name of person making statement Name of person 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 Florid7) (Signature of Notary Public-State of Florida
Commissibn No. ,,�: :° SUS%hiONTENEGRO Commission No. aFYFur4r SUSAN t�(6@�I�tEGRO
• : MY COMMISSION it GG 0$9099 '?' _ MY COMMISSION 9 GG 0&9099
EXPIRES:Ap�nl2.2021 ;r EXPIRES:April 2.2021
Fn F�.•' Bonded Thr bficUnderwdiers `
-rrr„
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8J2J17