HomeMy WebLinkAboutBuilding permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Data- 01/28/2020
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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 Number:
Building Permit Application
PERMITTYPE:A/C CHANGE -OUT
PROPOSED IMPROVEMENT LOCATION:
Address: 6680 PICANTE CIR.
Property Tax ID #: 1306-500-0215-000-7
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Commercial
Residential X
Lot No._
Block No.
LIKE FOR LIKE REPLACEMENT OF (1) 3 TON TRANE HEAT PUMP SYSTEM, 15 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:
Sq. Ft. of First Floor:
Cost of Construction: $ 5,560.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name JOHN SHUMATE
Name: JAMES F. GRIMES
Address: 6680 PICANTE CIR.
—
Company: GRIMES HEATING AND AIR CONDITIONING
Y�
City.
City: FORT PIERCE State: L
Address: 3054 N US HWY 1
Zip Code: 34951 Fax:
City: FORT PIERCE State: FL
Phone No. 561-901-8123
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 ROBERTGRIM ESAC(PAOL.COM
from the Owner listed above)
State or County License 4426
If value of cnnctrurtinn is e`9snn .,...,. _ ., nrr�nnrn we-.e__ _r
.
- -- -- ------1 —----- •---..... .. a.aa.c vwe me, 1—R=14G 11 nk fequireu.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
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OMA�tOI
DESIGNER/ENGINEER: T Not Applicable
Name:
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City: State:
Zip: Phone
City:
Zip: Phone:
State:
FEE SIMPLE TITLE BOLDER: Not Applicable
Marne:
BONDING COMPANY:
Name:
Not Applicable
Address:
Address:
City: - -
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AIFIFIDVIT: 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 NCEMENT 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_"
C
s' ature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA r
COUNTY OF SL ct en, e—
The fnrar,ing instrument- wa acknowledged before me
this jxday of A 20W by
IF
Name of person making statement.
Personally KnownX OR Produced Identification
Type of Identification
Produced
Signature of Notary Public- State of Florida } U
Commission Na. ;: "•?" (s�AN h44NTENEGRO
MY COMMISSION n GG U(iE
;' .Z EXPIRES: April 2. 2021
REVIEWS 1 FRONT
COUNTER I REVIEW REVIEW
RECEIVER
DATE
COMPLETED
Si ature of Contractor/License Holder
STATE OF FLORIDA -
COUNTY OF
The forgoing instrument was acknowledged before me
this Zii day of 7 r YN 202_0 by
Name of person making statement.
Personally Known )!� OR Produced Identification
Type of identification
Produced
re of Notary Public- State of Florida)
mmission No.
MYCOMIfISSIONa CGUS9fi99
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