HomeMy WebLinkAboutATRIUM PERMIT APP - BOILERAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02-06-2020 Permit Number:
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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
PERMIT TYPE: A/C CHANGE -OUT
PROPOSED IMPROVEMENT LOCATION:
Address: 3000 N HIGHWAY A1A (CONDO)
Property Tax ID #: 1425-756-0000-000-0
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE REPLACEMENT OF (1) RBI 1,700,000 BTU BOILER. MODEL #LCDB1950.
CONNECT TO EXISTING PIPING, ROOF STRUTURE, HIGH AND LOW VOLTAGE ELECTRIC.
CONSTRUCTION INFORMATION:
Lot No._
Block No.
Additional work to be performed under this permit —check all that apply:
XMechanical _ 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: $ 33,000.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name THE ATRIUM ON THE. OCEAN it CONDO ASSOC., INC. Name: JAMES F. GRIMES
Address: 3000 N HIGHWAY A1A Company: GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE State:PL, Address: 3054 N US HWY 1
Zip Code: 34949 Fax: City: FORT PIERCE State: FL
Phone No. 661-985-2336 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.
Not
Name:
Address: State:
City:
Zip: --- Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: .Phone:
MORTGAGE COMPANY: ^ Not Applicable
Name:
Address: State:
City:
Zip: Phone:
BONDING COMPANY: _ Not Applicable
Name:
Address:
City:
Zip: phone:
is indicated-
IOWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installaton a
I certify that no work or installation has commenced prior to the issuance of a permit -
St. Lucke mount#licmt with and± applicable Home owners Asssociationirules, ylaws or arrt cov nants that maydrestr[cuthar prohibit such
which s
structure" Please consult with your Howie Owners Association and review your deed for any restrictions which may apply.
will, in all respects, perform the wort:
In consideration of the granting of this requested permit, t do hereby agree that t
in accordance with the approved plans, the Florida $uilding Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessary structures, swimming pools, fences, walls, signs, screen
NOTICE OFCoMMENCEMENT MAY er RESULT IN YOUR PAYING
"WARNING TO OWNEw. YOUR FAILURE TO RECOIiR A
ICE CONSULT
TAND
WICE
FOR IMPROVEMENTS To YOUR PROPERTY. A NOT RE THE FIRST INSPECTION' IIkF� ®ll1 INTEIl1B ToOBTAINFINANCING, CONT MUST BE NSULT
POSTED ON THE JOB SITE BEFORE
WITH YOUR LENDER OR AN �►TI'OlZNEY BEFORE RECORDING YOURNOTICE®F' C0141lYlEtiiCEil+1ENT_"
C
S" ` ature of Ownerf Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The fnraning instrumPnt wa' acknowledged before me
this �=day of �r 24i.D by
Name of person making statement.
Personally Known_ OR Produced identification
Type of identification
Produced
Si ature of Contractor/License Holder
STATE OF FLORIDA R
COUNTY OF
The forgoing rostrum �t was acknowledged before me
this ,__& day of 2i7 Z�7 by
a
Name of person making statement.
Personally Known %K OR Produced Identification
Type of identification
Produced _
Y V U
Public- State of Florida } nature of Notary Public- State of Florida }
Signature of Notary _ NE GRO
SU�"DNTfr
, lP -. (SAgAN MONTENEGRp mrr+ission No. PAY Ct�Mi Iba1C' # Co 1789U99
Commission No. "' ` = My COMMISSION m GG 0890 = rc.
EXpIRES: 0 2, 2021 -"' _ re PuW uNiehqrtet-
a� nderwril. N5 VEGETATI REVIEW
REVIEWS FRONT REVIEW REVIEW REVIEW
COUNTER REVIEW REVIEW
LATE I
COMPLETED