HomeMy WebLinkAboutPolinski AC Change out permit app pg 1ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01/15/18
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: Other
PROPOSED IMPROVEMENT LOCATION:
Address: 9500 S Ocean Drive Unit 807
Legal Description: Islandia II Condominium Unit 807
Property Tax ID #: 4502-602-0071-000-9
Site Plan Name:
Project Name: _
Setbacks Front _ Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Like for Like AC Change out 3 ton No KW 13 EER Water Source Heat Pump
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: 2500.00
Cost of Construction: $
S Ft. of First Floor: _
Utilities:__Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Craig Polinkski
Name: Kim Wilson
Address: 42067 Lakesland CT
Company: Premier Plumbing & Air LLC
City: Plymouth _ State: Ml
Zip Code: 48170 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.