HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 84S19 Permit Number: VNo.%-d 5�
ffaEr
R,-CEIVED
Building Permit Application AUG z 8 2099
Planning and Development Services
Building and Code Regulation Division LuCEL County, Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMITTYPE:A/C CHANGE-OUT
PR'OPOSEDIMPROVEMENI LOCATI�Owi ft,
Address: 3327 ORANGE AVE.
Property Tax ID#: 2408-312-0004-000-4 Lot No.
Site Plan Name: Block No.
Project Name:
v �`'�
�DET�AILE® DESCRIPTION O�F UVORjK `��-' "�� �q
.LIKE FOR LIKE REPLACEMENT OF(1)3 TON TRANE A/C SYSTEM, 17 SEER WITH 8 KW ELECTRIC HEAT.
CONNECT TO EXISTING REFRIGERANT LINES, DRAIN, DUCTWORK, HIGH AND LOW VOLTAGE ELECTRIC.
CONSTRUCTION IN.E®RMATI®'N: � , '
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:$ 4,785.00 Utilities: —Sewer _Septic Building Height:
-, � 5 X14
_`
01111NER/LESSE�� �' CONI ROTOR. ' � �; *
Name ST LUCIE COUNTY FARM BUREAU Name:JAMES F.GRIMES
Address:3327 ORANGE AVE. Company:GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE State:)- Address:3054 N US HWY 1
Zip Code: 34947 Fax: City: FORT PIERCE State:FL
Phone No.772-465-0440 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.
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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 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
commencin work or recording our Notice of Commencement.
S' ature of Owner/Lessee/Contractor as Agent for Owner XKature of Contractor/License Holder
STATE OF FLORIDA - STATE OF FLORIDA
COUNTY OF ST= L 4"'C" COUNTY OF
The for� oing instrument was acknowledged before me The for oing instrument was acknowledged before me
this-day of _,26 a by this day of Au 4 . ��20_' 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 Identificat on
Produced Produced
Signature of Notary Public-State of Florid ) (Signature of Notary Public-State of Florida)
.•'jam:a:" SU NTENEGRO SUSAN Cammissibn No. eV� Commission No. ,+,;PYA •,,
gcr t�� h1Y COMMISSIOhJ GG 089099 � �iY COMMISSION#GG 089099
e �•p �E^Xx,PIRL ES:ArypdI 2,2021 EMPIRES:April 2.2021
n P4y+s+,ow NGV hruliota' !ubfi.`U �
11111+
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17