HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01/28/2020 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
PERMIT TYPE:A/C CHANGE -OUT
PROPOSED IMPROVEMENT LOCATION:
Address: 5151 N HWYA1A#412
Property Tax ID #: 1411-705-0016-000-4
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Commercial Residential X
Lot No.
Block No.
LIKE FOR LIKE REPLACEMENT OF (1) 2 TON TRANE A/C SYSTEM, 14.5 SEER WITH 5 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:
Cost of Construction: $ 4,485.00
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name VICTOR MOLINA
Name: JAMES F. GRIMES
Address: 5151 N HWY A1A #412
Company: GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE Stater
Zip Code: 34949 Fax:
Phone No. 561-315-8993
Address: 3054 N US HWY 1
City: FORT PIERCE State: FL
Zip Code: 34946 Fax: 772-461-8722
Phone No 772-461-8711
E-Mail: NA
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail ROBERTGRIMESAC@AOL.COM
State or County License 4426
If value of construction is $2500 or more, a REGURLOW Notice oT tommencemenz is requereu.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip; Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
Name:
Address:
City. State:
Zip: Phone:
BONDING COMPANY: —Not Applicable
Name:
Address:
City:
Zip: ,._ Phone:
ion is hereby made to obtain a permit to do the work and installation as indicated.
OWNER/ CONTRACTOR AFF&[3111T: Applicat
1 certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation
that
t is granners ing C atlonlruiesabylaws or aize nd covenants that maydrelstr cutborprct ohibit such
which is in CO g with any, applicable
structure. Please consult with your Home owners Association and review your deed for any restrictlonh� the vrorlCly
in consideration of the granting of this requested permit, 1 do hereby agree that I will, in all respects, perform
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
CE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
"WARNING TO OWNEW. YOUR FAILURE TO RECORD A NIIIO�IC� OF cOMMENCMENT MUST BE RECORDED AND
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY A
POSTON THE JOB SITE BEFORE THE FIRST INSPECTIONN. IF YOU INTEND TO OBTAIN FI111A�ICIiYG, CONSULTED
WITH YOURl F3dDlEIB OIL AM ATrnRNEY 13EFORE RECORnINC YOUR NOTICE OF COMMENClEMENT
4Z
s" � ature of Owner/ Lessee/Contractor as Agent for owner
STATE OF FLORID,
COUNTY OF � -L y �
The fnaming instrument war acknowledged before me
this •day of ZoZO by
�r
Name of person making statement.
Personally Known>< -OR Produced Identification
Type of identification
Produced
of Notary Public- State
Commission No.
REVIEWS I FRONT"
COUNTER
DATE
RECEIVED
DATE
COMPLETED
-ida) U
{S61,�AN h#ONTENEGRO
My COMMISSION n GG DH
rxPIrR=S: Ai3d] 2. 2021
REVIEW I REVIEW
�Sj�ature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this day of QC 20Za by
Name of person making statement.
Personally Known K_OR Produced Identification
Type of Identification
Produced
of Notary Public- State of Florida )
No. '.
MY CC?dhkl{tJNG [J>39099
Bsnck+i Thru Wary Pi;hR;. Udcb$
J;VLANS VEGETATI `v
REVIEW REVIEW
REVIEW REVIEW