HomeMy WebLinkAboutISRAEL PERMIT APP - 219 MARINA DRAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4-13-2021
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:A/C CHANGE -OUT
PROPOSED IMPROVEMENT LOCATION
Address: 219 MARINA DR
Property Tax ID #: 1425-701-0144-000-1
Site Plan Name:
Project Name:
Commercial Residential X
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE REPLACEMENT OF DUCTWORK FOR HOME. INCLUDING NEW CANS AND GRILLS.
NEW LAYOUT IS ATTACHED.
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:
Cost of Construction: $ 6,785.00
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name DAVID ISRAEL
Name: JAMES F. GRIMES
Address: 219 MARINA DR
Company: GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE State: %
Zip Code: 34949 Fax:
Phone No. 772-979-3839
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@AOLCOM
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.
Name:
Address:
City: State
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: 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 County makes no reprelHome Oiwrgiers As�ocrat Asst will ociation kiyiaurks or arerd permit holder -
that maq estrictthe bor prect ohibit such
which is to conflict with any applicable
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, 1 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 foilowing building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, wails, signs, screen rooms and accessory uses to another non-residential use
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COIWMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WIT" YOUR I_=RtnER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT:'
S' ' Aature�ofowne�rlLesse�,I����
Contractor as Agent far Qwner
STATE OF FLORIDA
COUNTY OF 5 - L'®
The fnranirtg insru P
tnt war acknowiedged before me
this _yday of 202A by
Name of person making statement.
Personally Known�_OR Produced identification
Type of Identification
Produced
Signature of Notary Public- at of Florida) U
S ANMONTENEGRO
Commission No. ""r
MY COMMISSION R GO 03E
EXPIRES: ri12.2021
oFN; tary ClicukeN
REVIEWS FRONT
COUNTER REVIEW REVIEW
RECEIVED
DATE
COMPLETED
/Siature of ContractorlLicense bolder
STATE OF FLORIDA -
COUNTY OF S-7-- /
The forgoing instr�ent as acknowledgzbb ore me
this day of1 -� Y
6klx� 5 `Y1�
Name of person making statement.
Personally Known )< -OR Produced Identification
Type of identification
Produced
of Notary Public- State of Florida }
mmissian No. t:P-E SUEiadNTl lre3R4
-_. MY COP�{MiSalfl�'i a GG UB�{i99
Bor4A- Thru I,4,bry Pub underwntefs
'iffLANS VEGETATI ...a.
REVIEW REVIEW REVIEW REVIEW
Jab #:
Performed for.
DAM &COLENE ISRAEL
219 MARI NA DRIVE
FT. PIERCE, FL34949
Sheet 1
QUICK CALCS, INC.
317 ST. LUCIE LANE
FT. PIERCE FL 34946
Phone: 772-466-6799
QUICKCALCS@AOLCOM
Scaie:1 :1 D2
Page 1
RigMSul e® Universal 2019
19.0.21 RSU08101
2021-Wr-03 13-39:08
HVACIISRAEL, DAVID & COLENE.rup