HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: q " L, 1 Lo Permit Number:
- A:
•
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 Residential X
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 139 E ALDEA COURT
Legal Description. RIVER PARK UNIT 3
Property Tax ID #: 341951502080004
Site Plan Name: GREULICH
Project Name: GERALD GREULICH
Setbacks Front Back:
Right Side: Left Side:
Lot No. 19
Block No. 28
DETAILED DESCRIPTION OF WORK: —I
*** LIKE FOR LIKE***
INSTALL (1) 3 TON A/C SYSTEM 17 SEER WITH 10 KW
CONSTRUCTION INFORMATION:
AcIclitional work to be performed under t is permit —check a appy:
HVAC Gas Tank ❑Gas Piping _ Shutters Windows/Doors
Electric Plumbing Sprinklers E Generator 11 Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 4375.00
S Ft. of First Floor: _
Utilities:Sewer 0Septic
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name GERALD E GREULICH
Name: JAMES F GRIMES
Address: 139 E ALDEA CT
Company: Three G's dba Grimes Heating Air
City: PORT ST LUCIE State: FL
Zip Code: 34952 Fax:
Phone No. 772-344-3992
Address: 3054 N US HWY 1
City: FT 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: shannagrimesac@aol.com
State or County License: RA0018071/4426
VOPUC U! wnbuucuvn l5 ;Ocwu or more, a KrcuKuru Notice OT 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:
City:
Zip: Phone:
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 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 1 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.
Signature of Owner/ Lessee/Agent
STATE OF FLORIDA/ / ��
COUNTY OF ai . / Iff/ zf
The forgoing instrum nt was cknowledged before me
this .4W day of 20 16 by
(Name of person acknowledging )
Akv4,4�,Wa,j )
(Sig ture of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identificatio
1P B,'i
Commission No. Notar �I c State of Florida
My Coo m. E�Pir,s '.1ar 14, 2018
Commission # FF 071680
Pnn ,7 , roug
Revised 07/15/2014
s
- ;,t" Si ature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF 51 kuGe-
The forgoing instrument was acknowledged before me
this �,2& day of 111917 L 20 & by
e5 61-m- zf 5
(Name of person acknowledging )
(Si ture of Notary Public- State of Florida )
Personally Known ✓ OR Produced Identification
Type of Identification Produced
Commission N
aY P�,, SANDRA OWN
`P a`;-' Notary Public -State of Florida
niy ,,.nnn. .., -_'- P..
Commission # FF 071680 r"
Bonded Through National Notary Assn
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