HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/16/17 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 Residential x
PERMIT APPLICATION FOR: Other
PROPOSED IMPROVEMENT LOCATION:
Address: 8750 S Ocean Drive Unit PH 49
Legal Description: Island Dunes Condominium A Unit PH -49 AKA Admiral Condominium
Property Tax ID #: 3535-601-0103-000-9
Site Plan Name:
Project Name: _
Setbacks Front _ Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Like for Like AC Change out 4 ton WATER SOURCE HEAT PUMP 14.10 EER 10KW
Lot No._
Block No.
CONSTRUCTION INFORMATION:
Additional work to be i)erformed under this permit — check all that appy:
HVAC Gas Tank F]Gas Piping ❑_ Shutters ❑ Windows/Doors
Electric ❑ Plumbing ❑ Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 2500.00
SFt. of First Floor: _
Utilities:cnSewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Gertrude Ward
Name: Kim Wilson
Address: 8750 S Ocean Dr PH 49
Company: Premier Plumbing & Air LLC
City: Jensen Beach _ State: FL
Zip Code: 34957 Fax:
Phone No.
Address: 108 NE Dixie Hwy
—_
City: Stuart State: FL
Zip Code: 34994 _ Fax: 772-692-1094
Phone No. 772-692-2500
_ _ ___
E -Mail:_
_ _
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: preplbgac@gmail.com
State or County License: 25222
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.