HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6-12-2020
i -1110
CONTRACTOR:
-
COUNTY
Address: 5167 N HWY A1A E-705
Company: GRIMES HEATING AND AIR CONDITIONING
F
L 0 R
I D A
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: 5167 N HWY AIA E-705
Property Tax ID #: 1411-709-0051-000-3
Site Plan Name:
Project Name:
Commercial Residential X
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE REPLACEMENT OF (1) 2 TON TRANE A1C SYSTEM, 14 SEER WITH 8 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
Electric
Total Sq. Ft of Construction:
Gas Tank
Plumbing
Cost of Construction: $ 4,300.00
Gas Piping
Sprinklers
_ Shutters
_ Generator
Sq. Ft. of First Floor: _
Utilities: ,Sewer `Septic
Windows/Doors
_ Roof Pitch
Building Height:
OWNED/LESSEE:
CONTRACTOR:
Name SUE LITTLEJOHN
Name: JAMES F. GRIMES
Address: 5167 N HWY A1A E-705
Company: GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE State:
Zip Code: 34949 Fax:
Phone No. 772-332-2424
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 RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
a
r_.NGINEER: Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
City: State:
Zip.. Phone
Zip; Phone:
FEE SIMPLE TITLE HOLDER: _ 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.
h ' th ermit holder to build the subject structure
St, Lucie County makes no representation that is granting a permit will aut ornr! covenants that may restrict
e e
which is in conflict with any applicable Home Owners Association rules, bylaws or aor hibit 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 OWNEW. 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 LIE11l@iER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT:'
S" ature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The fnraning instriimpnt wn, acknowledged before me
this �=day of _Q,S, 20 " by
Name of person making statement.
Personally Known OR Produced identification
Type of Identification
Produced
ignature of Notary Public -Stat of Florida l U
ter': ` IS& IgAN MONTENEGRO
Commission No. _ °......
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E}tPIRES: ri12, 2021
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REVIEWS FRONT
COUNTER REVIEW REVIEW
DATE
RECEIVED
DATE
COMP LET
ZoIr
Si ature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF_ S71 ik ae
The forgoing instrument was acknowledged before me
this day of 20_1_b by
Name of person making statement.
Personally Known _)<_ OR Produced identification
Type of identification
Produced
of Notary Public- State of Florida )
mission No.
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