HomeMy WebLinkAboutBuilding permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:.12/19/2019 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
PERMITTYPE: A/C CHANGEOUT
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Address: 7400 S OCEAN DR UNIT 502 BLDG E
Property Tax ID #: 3522-606-0017-000-4
Site Plan Name:
Lot No.
Block No.
Project Name: &Lis Qrowr^,
LIKE FOR LIKE INSTALLATION OF A 2 TON CARRIER A/C SYSTEM, 14 SEER WITH 5 KW HEAT TO BE
CONNECTING TO EXISTING REFRIGERANT LINES, DRAIN, DUCTWORK, HIGH & LOW VOLTAGE ELEC.
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:
Cost of Construction: $ 2R, 0 0
Sq. Ft. of First Floor:
Utilities: —Sewer , W Septic Building Height:
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Name JAMES F GRIMES
Name. JAMES F GRIMES
Address:3054 N U5 HWY 1
Company: GRIMES HEATING & AIR CONDITIONING
City: FORT PIERCE State: �%�
Address:3054 N US HWY 1
City: FORT PIERCE State: FL
Zip Code: 34946 Fax: 772-461-8722
Phone No.772-461-8711
Zip Code: 34946 Fax: 772-461-8722
E-Mall:SUSANGRIMESAC@AOL.COM
phone N0772-461-8711
Fill in fee simple Title Molder on next page (if different
E-MailSUSANGRIMESAC@AOL.COM
from the Owner listed above)
State or County License4426
it value or construction is 52500 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:
Nat Applicable
MORTGAGE COMPANY:
Not Applicable
Name•
Name:
Address:
Address:
City:
State:
City:
State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE FIOLDER:
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Sig ure of owner Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me
this 19TH day of DECEMBER _ , 200 1�7by
JAMES IT GRIMES
Name of person making statement.
Personally Known x
Type of Identification
Produced
ignature of Notary
Commission No.
REVIEWS
RECEIVED
COMPLETED
OR Produced Identification
FRONT
COUNTER
re of Contractor/License Holder
STATE OF FLORIDA
COUNTY OFST. LUCIE
The forgoing instrument was acknowledged before me
this 19TH day of DECEMBER 20/'? by
JAMES F. GRIMES
Name of person making statement.
Personally Known x OR Produced Identification
Type of identification
Produced
-tl — (Signature of Notary Public- State of Florida )
SI. sk)3NTENEGRO
<YCgS�'aly[ON#GO089099 Commission No.
'cr„kFS:Agri12.2021 gig�SE
I� _'ry PUhrc UJlde�writels
ZONING SUPERVISOR PLANS VEGETATION S
REVIEW REVIEW REVIEW REVIEW I REVIEW
'OMMISSION # GO
EXPIRES: Aori! 2.21
REVIEW