HomeMy WebLinkAboutBuilding Permit Applicaiton 03/20/2019 14:02 7726921094 PREMIER PAGE 03/06
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 11 r P � r
Date: 03/14/2019 Permit Number: .__$✓ 0`�1. �
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- ,. - ._ Building Permit Applicati r
Planning and Development Services _ tp:
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierre FL 34952
Phone: (772)462-1553 Fax:(772)4621578 • , Corn mercial Residential X
PERMIT TYPE: AC Change out
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Address: 9550 S Ocean Drive. #1610
Property Tax ID#: 4502-601-0154-000-2 Lot No.
Site Plan Name: - Block No.
Project Name: Knox
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Like for like AC changeout-water source heat pump-3.5 ton 13.65 EER,SOV-42N Bosch.
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Additional work to be performed under this permit—check all that apply:
/Mechanical ,Gas Tank _Gas Piping _Shutters ___•__Windows/Doors
Electric _Plumbing ^Sprinklers __Generator _Roof _ Pitch
Total Sq.Ft of Construction: 'Sq. Ft.of First Floor:
Cost of Construction:$ 2,000.00 , Utilities: Sewer _Septic Building Height:
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Name John Knox Name:Kim Wilson
Address; 9550 S.Ocean Drive# 1610 Company:Premier Plumbing and Air
city: Jensen Beach, FL State:_ Address.108 n Dixie Highway
Zip Code: 34857 Fax: City: Stuart State:FL
Phone No.772-228-1629 ; Zip Code: 34957 Fax: 772-692-'094
E-Mail: Phone No 772-692-2500
Fill In fee simple Title Holder on next page(if different E-Mail preplbgac@gmail.c
from the Owner listed above) State or County Licen lorida r -�
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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.
03/20/2019 14:02 7726921094 PREMIER PAGE 04/06
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DESIGNER/ENGINE R: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: - - Name: _
Address: Address:
City: - State: City: _- State:
Zip: Phone: - - Zip: Phone:
FEE SIMPLE TITEE HOLDER: x Not Applicable BONDING COMPANY: x . Not Applicable
Name: Name:
Address: Address
City: - City:
Zip: Phcpe• - dip: Phone:
•
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie County rriakes•no representation that•is granting a permit will authorize the permit holder to build the subject:•tructure
which is in conflict withvany 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
WARNIN.G:T: O l}ER:Your failureto Record a•Notice of Commencement may result in your paying twice for
•improvemenrs'to-}your.property.A-Notice of Commencement must be recorded and posted on the J bsite
• before the first Inspection.If you intend to obtain financing,consult with lender or an attorney befoI e
commencing work or recording your Notice of Commencement
•_•Sigttatllt 'tiwner/Lessee/Agent Signature of Contractor License Holder
STATE QF +LOJf ` i/ STATE OF FLORID
COUNTY OF � • COUNTY
of
The fo ing inst a ckasowledged efore ma The fo oing instru was acknowledge afore me
this Pt day of f eft T\ , 20 ". by this ,day of /h ,20 ,J T. by
_ CAN • /V.ZM�
(Name of person acknowledging) (Name of per acknowledging)
• kilAidio
(Signature of Notary Public-State of Florida) (signature of Notary Public-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
CornApar •
pr.,.. �v�!e�'a--,.. .4_",: m
_C _ comis-.r. 1e. QRYST A Qu
MY COMMISSION#Fr- 041)48 »+r. .- M CC+JVfMswot/#FF904840.
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE r -
COMPLETE
INITIALS T ^