HomeMy WebLinkAboutBUILDING PERMIT APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6-12-2020 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: AIC CHANGE -OUT
PROPOSED IMPROVEMENT LOCATION:
Address: 920 JACKSON WAY
Property Tax ID #: 1423-802-0009-000-7
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Commercial Residential X
Lot No._
Block No.
LIKE FOR LIKE REPLACEMENT OF (1) 4 TON RUN TRU AIC SYSTEM, 15 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 _ 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: $ 5,185.00 Utilities: _Sewer _Septic Building Height:
OW NERAESSEE: CONTRACTOR:
Name NAVY SEAL MUSEUM Name: JAMES F. GRIMES
Address: 920 JACKSON WAY Company: GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE State:. Address: 3054 N US HWY 1
Zip Code: 34949 Fax: City: FORT PIERCE State: FL
Phone No. 772-766-9694 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.
DESi;GNER/ENGINEER. Not Applicable
Name:.
Address: State:
City:
Zip: Phone
FEE SIMPLE TITLE HOLDER; � Not Applicable
Dame:
Address:
City:
Phone:
MORTGAGE COMPANY: Not Applicable
Mame:
Address: State:
City:
Zip: -- Phone:
BONDING COMPANY: —blot Applicable
Name:
Address:
city_
Zip:. Phone-
Z- V&
hone:
Zip. �
IDV17commenot a obtain a
a pepmimit to do the work and installation as indicated.
OWNER/ CONTRACTOR AFFced prior to
I certify that no work or installation has
permit will authorize the ermit holder to build �str�c hoer Prohibit su h
St. Lucie Count+ makes no representation
bleiHo nhe piw granting
Association rules, bylaws or an covenants rest that may .
which is in con a cwith any app
structure. Please consult with your Home Owners Association and review your deed for any restrictions may he work apply.
agree
in considerationwith the approved of
plans, eclsteFlorida permit, ding Codes and St. Lucie County Amendments.
in accord review: room additions,
The following building permit applications are exempt from undergoing a full concurrency
accessory structures, swimming pools, fences, walls, signs, screeRnOrTICE OFd�CcOMMENCEMENT another
RESULT INtYOUIt PAYING
"WARNING TO OWNER: YOUR FAILURE TO RECORD Q
TWICE FOR IMPROYlEMENITS TO YOURE FIRST T CTIOl11. 1 A NOTICE ® OU INTEND TO OBTAIN FINANCING, RECORDED CONSULT
POSTED 011e THE JOB SITE BEFORE
YYITiI YOUR LENDER OR AN ATTORNEY BEFORE REGORDINiG YOUR NOTICE OF COMIMIERICENIEPa 1
S' `, ature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
Ther^+aping instria Pnr wac acknowledged before me
this JI -day of 202,D by
_a 1E
Marne of person making statement.
Personally KnownOR Produced identification
Type of identification
Produced
Notary Public- State of
(S&gANMONTENEGRO
Commission Na. MyroMMISSION GG 009
EXPIRES:Apri12.2Ci21
REVIEWS COU
ER REViIEW ,REVIEW
RECEIVED
DATE
COMPLETED
C
Si attire of Contractor/License Holder
STATE OF FLORIDA T
COUNTY OF_
The fa`r.�Ding lnstrtiim nt was acknowle�dOge Y re me
this � L day of
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
of Notary Public- State of Florida)
mmission No. 'r P F ,.. SUa��1EN GR0
`e my CwAM6 BION # CC 089499
B-�-Drj N+Ty Pubic: UAdefwrfte$
'11-AkS VEGzETATI REVIEW #.REVIEW
REVIEW REVIEW