HomeMy WebLinkAboutBuilding Permit Application Resend01-21-20;02;07PM;Grimes AC 07724618722 # 2/ 5
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �^ I
Date: tat-2020 Permit Number:
r a.
Building Permit Application
Planning end 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 CHANCE-OUT
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Address: 4310 N HWY A1A '
Property Tax ID#: 1423-585-0000-000-8 Lot No.
Site Plan Name: Block No.
Project Name:
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LIKE FOR LIKE REPLACEMENT OF(1)4 TON CARRIER WATER SOURCE HEAT PUMP, 12.9 EER.
CONNECT TO F-XISTING WATER LINES, DRAIN, DUCTWORK, HIGH AND LOW VOLTAGE ELECTRIC.
For Camy%t,t\ Area.
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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:$ 7,285.00 Utilities: Sewer Septic Building Height:
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Name ALTAMIRA AT NORTH HUTCHINSON ISLAND CONDO Name:JAMES F.GRIMES
Address:4310 N HWYAlA Company:GRIMES HEATING AND AIR_CONDITIONING_
City: FORT PIERCE State:E—L Address:3054 N US HWY 1
Zip Code: 34949 Fax' _ City: FORT PIERCE State:FL
Phone No.772-468-6249 - Zip Code: 34946 ._ Fax: T72-461-8722
E-Mail:NA Phone No 772-461-8711
Fill in fee simple Title Holder on next page(if different E.Mail ROSERTGRIMESAC@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.
Resend01-21-20;02:07PM;Gr1mes AC ;7724618722 # 3/ 5
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DESIGNER/ENGINEER: —Not Applicable MORTGAGE COMPANY: Not Applicable
Narnec Name:
Address: Address:
City: State: City: State-
Zip: Phone Zip: Phone:
PEE SIMPLE TITLEHOLDER: ._Not Applicable BONDING COMPi11NY., __Pot Applicable
Name: Name:
Address: Address:
City; • City:
Zip:, Phone: Zip:.^ Phone:
OWNER/CONTRACTOR AIFFIDVIT:Application is hereby made to obtain a permit to do the worts and installation as indicated.
I certify that no worts or installation has commenced prion to the Issuance of a permit. ;
St,LL cte Chunttyy makes no representation that) ranting a permit will aut orize the ermit holder to build the#ubject structure
whlc�1s In con lict with anL applicable dame Owners Association rules,by aws or andncovenants 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:roam additions,
accessary structures,swimming pools,fences,wails,signs,screen rooms and accessory uses to another non-residential use
"WARMING TO !'2WNER:YOUR FAILURE TO RECORD A NOTICE OLP COMMONCEMENIT MAY RESULT IN YOUR PAYING
MCE FOR IMPROVEMENTS TO YOUR PROPERTY, A NO'T'ICE OF COMM09CEMkt1iT 111110911' BE RECORDED AND
POSTED ON TH9.LOCI SITE BEFORE THE FIRST INISPECnON.IF YOiJ INTEND TO Oli rAIN FWANCING, CONSULT
WITH YOUi4 LENDER OR AN ATTORNIEY BEFORE RECO RtyING YOUR NOTICE OF tCOli/yrN,i�-ENNGENIENT.P
S ature of owner/lessee/Contractor as Agent for Owner Si azure of Contractor/license Holder
STATE OF FLORIDA STATE OF FLORIDA ..
COUNTY OF SZ ct _�. COUN'1'V OVF -7"r I—Ugze e
The fnrrrning instrummnrwaa acknowledged before me The fpBoula instrument was acknowledged before me
this V+rday or. 2520 by this day of-7MIJ 26M 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
ignature of Notary Public-State of Florida} nature of Notary Public State of Florida)
Commission No.
:h*ZN4s {SMIAN MONTENEGRO mm"cion No. ,""' "'�, SU(SOWDNTENEGRC
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. MY COMMISSION#GG 08009My COMMiSSi{}N 8 44 p$9099
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