HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02/17/2016 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 Commercial X Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 5101 N A1A, FORT PIERCE, FLORIDA 34949
Legal Description: RECREATIONAL HALL
Property Tax ID #: 1410-502-000-00-00
Site Plan Name:
Project Name: OCEAN RESORTS
Setbacks Front Back:
I DETAILED DESCRIPTION of WORK;
Right Side: Left Side:
Lot No.
Block No.
LIKE FOR LIKE CHANGE OUT FOR INSTALLATION OF (2) 5 TON CARRIER A/C SYSTEMS, 16
SEER W/10KW HEATERS.
iamonai worK to oe ertormea under this permit —check allapply:
❑✓— HVAC Gas Tank DGas Piping
11 Electric ❑ Plumbing Sprinklers
CONTRACTOR:
Shutters Q Windows/Doors
Generator 11 Roof
_
a
Total Sq. Ft of Construction: _
Cost of Construction: $ 9796.00
Sq. Ft. of First Floor: _
Utilities:Sewer Septic
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name OCEAN RESORTS
Name: TIMMY GRIMES
Address: 5101 N. AIA, PO BOX 34769
Company: GRIMES HEATING & AIR CONDITIONING
City: FORT PIERCE State: FL
Zip Code: 34949 Fax:
Phone No.
Address: 3054 NORTH US
City: FORT PIERCE State: FL
Zip Code: 34949 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: SUSANGRIMESAC@AOL.COM
State or County License: RA0018071
IT vaiue OT consiructnon 1s >zSuu or more, a KtGUKDto Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION;
DESIGNER/ENGINEER: x— Not Applicable
Name:
MORTGAGE COMPANY: x— Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
BONDING COMPANY: x Not Applicable
Name:
Address:
Address:
City:
Zip: Phone:
City:
Zip: Phone:
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 thepermit 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 your Notice of Commencement.
— om-ww.11� �_
_ Sign ure of wner/ Lessee/Agent
STA OF FLORIDA
COUNTY OF STLUCIE
The forg ing instrument was acknowledged efore me
this day of 66hr r 20 /by
JAMES GRIMES-' JdMe-t) Y G
(Name of person acknowledging)
(Si ature of Notary Public- State of Florida )
Personally Known x r~1�J'�o�i7--
My
ed IdBAgsit6idAthlgtlNMANN
Type of Identification Pr `�NotaryPublic - State of Florida
• Comm. Expires '.1ar 14, 2011
Commission No.
1 = '�`= ggLoulpsion # FF 071680
9 ,P,.�
Bonded Through National Notary Assr
Revised 07/15/2014
'C'Nk �— " A—�� - - s
Si ature of/
f ontractor/License Holder
STATE OF FLORIDA
COUNTY OF ST. LUCIE
The forgoing instrument was acknowledged before me
this/ % 4ay of ru 20 by
JAMES GRIMES yIL •� �/ / l/ ���
(Name of person ac nowledging )
i ature of Notary Public- State of Florida )
NN
rsonally Known X '�ggduced lAt� }��{ k?A el F
` - Notary u y`c 4�
pe of Identification � ° =
p_ y
Co�rp iss n # FF 071680
mmission No. ° - ° jTire61WNationalNotaryAssn.
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