HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAUL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11122/2016
Permit Number
014 RECEI 9
, 8 2016 SCANNED
WNW BY
Building Pe.imit Application St. Lucie Coijr)tv
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 XXX Residential
I PERMIT APPLICATION FOR: Mechanical III
Address: 2900 N HWY,AIA - ROOFTOP
Legal Description: THE ATRIUM ON THE OCEAN -A CONDOMINIUM L�ING IN CORAL COVE BEACH SECTION ONE TRACTS N, 0 7 P
Property Tax lD#: 1425-702-0000-000-3 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front. Back: RightSide: Left Side:
INSTALL ON ROOFTOP A LIKE FOR LIKE EXHAUST FAN
0HVAC LJGasTank E]Gas Piping LJ Shutters
11 Electric QPIumbing []Sprinklers ElGenerator
Total Sq. Ft of Construction: S Ft of Fir t Floor:
In Sewles Sepiic
Cost of Construction: $ 7365.00 Utilities.
oWindows/Doors
0 Roof = Roof pitch
Building Heighi;
,0 0044SSEE:,�'�,
Name THE ATRIUM ON THE OCEAN CONDO ASSOC.. INC.
Name:J�WgS GRIMES
Address. 2900 N HIGHWAY AIA
Camp -any: GRIMES, HEATING AND AIR CONDITIONING
City: F . ORT PIERCE State: FL
Zip Code: 34949 Fax:
Phone No.
Addfess:-'3054 N US-HWY 1
Cityt F0Rf PIERCE State: FL
Zip Code: 34953 Fax: 772-461-8722
Phone No. 772-461-8711
E-Mail:
Fill in fee simple Title Holderon nextpage(if different
from the Owner listed above)
E-Mail: SUSANGRIMESAC@AOL.COM
'
State or County License: RA0018071
If value of construction is $2500 or more, a RECORDED Notice of Commencement Is required.
-1
DESIGNER/ENGINEER:
'Name:
Not Applicable
MORTGAGE COMPANY. xxx Not Applicable
Name:
Address:
Address:
City:
Zip: Phone:
State:
City: State'.
Z11 p: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
NotApplicable
BONDING COMPANY. xxx Not Applicable
Name:!
Address:
Address:
city:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
it. Lucie Countv makes no reoresentationthat is arantline a oennit Will authorize the Di
In consideration'of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the appioved plans, the Florida Building Codes and StAucieCounty Amendments.
The following building permit applications are exempt from undergoing a full concurrency review., room additions,
accessory structures, swimming pools, fen ces, walls, signs, screen rooms and accessory uses to another non-residential use
ING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
ements to your property. A Notice of Commencement must be,recorded and posted on the jobsite
the first Inspection. If you intend to obtain financing,'consulf with lender or an attorney before
01
SI$Kture,of Owner/Lessee/Contractor as Agent for Owner
s
54nature.of Contractor/Ucense Holder
STATE OF FLORIDA STATE OF FLORIDA I
COUNTY OF —<IT-- ICOUNTYOF ' 47--- 44�4:745-
The for i i stru t
,jWjr1g in ZmGn w
�s acknowledged before me
thl= day of 20 ffby
Pgrilture of Notary, Public- State of Florida I
Personally Known " 1___M_
I R! cre4d
Type of ldentifi;�gn, rW;,
Commission No.
Revised 07/1512014
The forgoing Instrument was acknowledged before me
this.aaay of X14 L/ 20 e�,/ by
1__T_
�Jallw ew
(Name of person acknowledging)
ry Public- State of Florida I
Rate of Florl
# )t4mmission No.
�Iar 14; 21
FF 071680
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