HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: $-7-2020
COUNT?
F 1 n Q 1
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
PERMIT TYPE:p/C CHANGE -OUT
PROPOSED IMPROVEMENT LOCATION:
Address: 3702 N HWY A1A #403
Property Tax ID #: 1423-807-0012-000-6
Site Plan Name:
Project Name:
Commercial Residential X
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE REPLACEMENT OF (1) 4 TON CARRIER WATER SOURCE HEAT PUMP, 13 EER.
Lot No.
Block No.
CONNECT TO EXISTING WATER 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
Total Sq. Ft of Construction:
Cost of Construction: $ .5,750.00
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
Pitch
OWNERAESSEE:
CONTRACTOR:
Name JOHN DISANTO
Name: JAMES F. GRIMES
Address: 3702 N HWY Al #403
Company: GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE: State: &
Zip Code: 34949 Fax:
Phone No. 813-494-4928
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.
DESIG
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name,
Address:
City:
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.
St. Lucie Count makes no representation that is granting a permit tvili authorize
or and covenant that r to maydrestrictyorprohibit ubject such
which is in contlict with any applicable Home Owners Association rules, by
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
ICE OF
MENCEMENT
"WARNING TO T OWNER: YOUR FAILURE TO RECORD A
TO YOUR PROPERTY. ATNOTICE OFMCOMMEN EC MENT MUST HE RE CO AND
POSTMAY RESULT IN YOUR PAYING
FOR
POSTED ON THE JOB SITE BEFORE THE FiIY°si INSPECTION. IF YOU iNT1FJ13il TO OBTAIN FINANCING, CONSULT
WITH YOUR I.IENE3IEl1 O12 AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COiM1M9WrEMEW-7
S" � ature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF_
The fnrRning instrF Pnt wa< acknowledged before me
this _-I day of 2020 by
�r�n�as (IT i vMt.
Name of person making statement.
(MORTGAGE COMPANY: � Not Applicable
Personally Known�,—OR Produced identification
Type of Identification
Produced
ature of Notary Public- State
Commission No.
Name:
Address: State:
city: —
Zip: — Phone:
BONDING COMPANY: —Not Applicable
Name:
Address:
City:
Zip: . Phone:
C
Si- ature of Contractor License Holder
STATE OF FLORIDA
COUNTY OF�_
The forgoing instru ent was acknowledged bY re me
this �day of
S
Name of person making statement_
Personally Known )!�—OR Produced Identification
Type of identification
Produced
of Notary Public- State of Florida )
MS Ai`I MONTENEGRI) I remission No.
Y GOMMi5SION # GG 0250
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MY Gomm*810N # CG C89m
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