HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9-5-19 SCANNED Permit Numl
BY
St. Lucie County
Building Permit App
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 x
PERMITTYPE:A/C INSTALL
PROPOSED IMPROVEMENT LOCATION:
Address: 1000 SAVANNA CLUB BLVD
PropertyTax ID #: 3426-700-0002-000-0
Site Plan Name:
Project Name:
1goq .000(o.
RECEIVE®
tion SEP .5 2019
Permitting Department
St. Lucie County, FL
Residential
I; DETAILED DESCRIPTION OF WORK;
INSTALLATION OF (1) 5 TON TRANE A/C SYSTEM, 15 SEER WITH 10 KW ELECTRIC HEAT.
NEW 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
Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: _
Cost of Construction: $ 7295.00
Sq. Ft. of First Floor:_
Utilities: _Sewer _Septic
Lot No.
Block No.
—Windows/Doors
_ Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name AMERICAN LEGION POST#318
Name:JAMES F. GRIMES
Address:1000 SAVANNA CLUB BLVD
Company: GRIMES HEATING AND AIR CONDITIONING
City: PORT SAINT LUCIE State: LL
Zip Code: 34952 Fax:
Phone No. 772-201-5393
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:
Fill in fee simple Title Holder on next page (if different
from the owner listed above)
E-Mail ROBERTGRIMESAC@}10L.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.
SUi�P>LEMENlALCONSTgRU� IONIEI 'UV�INFORNI
Tt y, fix'
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
Name:
Name: -
Address:
Address:
City: State:
City:
State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ 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.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit 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 OWNER: 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 jobsite
before the first inspection. if you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
S" ature of Owner/ Lessee/Contractor as Agent for Owner
" ature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF 57- Lae, -a-
STATE OF FLORIDA <
COUNTYOF /e-
The for oing instrument w s acknowledged before me
g S
The for oing instrument was acknowledged before me
a
this day of CT 2011 by
this day of Se� 20)1 by
Name of person making statement
Name of person making statement
Personally Known,><:� OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
Signature of Notary Public- State of Florid )
(Signature of Notary Public- State of Florida )
Commissibn No. " `' SUb'qNTENEGRO
Commission No. SUSAN A(6@�j EGRO
- .-= MY COMMISSION i:GG 089099
�- MYCOMMISSIGNkGG 089099
EXPIRES: Ap612,2021
Bonded TAN Nora Pubre Und& TIIEYS
_`'
� EXPIRES: April 2. 2021
..c,•
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
LL
VEGETATION
MANGROVE
SEA TURTLE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17