HomeMy WebLinkAboutBuilding Permit Application_All APPLICABLE INFP MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: d Permit Number:
. _.... Y.... 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 TYPE:Other
PROPOSED IMPROVEMENT LOCATION':
Address: 8750 S Ocean Drive, Jensen Beach, FL 34957 Unit 1535-Admiral
Property Tax ID #: 3535-601-0077-000-0
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Like for like AC change out BOSCH 3 ton, EER 14.10, KW 7
Lot No.
Block No.
CONSTRUCTION INFORMATION:
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:
Cost of Construction: $ 2,000.00
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
I Name Steve Capanna
Name: Kim Wilson
i
Address: 8750 S. Ocean Drive
Company: Premier Plumbing and Air
_
City: Jensen Beach, FL State: _
Zip Code: 34957 Fax:_
Phone No. 772-229-9724 _
Address: 108 NE Dixie Highway
City: Stuart State: FL
Zip Code: 34994 Fax: 772-692-1094
Phone No 772-692-2500
E-Mail: scapanna@cox.net
1 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 CAC-033574
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.
MORTGAGE COMPANY: — Not Applicable
Name:_
Address:
City:
Zip:
State:
Phone
FEE SIMPLE TITLE HOLDER: ,Not Applicable
Name:
_
I Address:
City:
Zip:
Phone:
Name:
Address:
City: State:
Zip: Phone:
SONDING.COMPANY: Not Applicable
Name:
Address'
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
1-certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countyty�makes no representation that is granting a permit will authorize the permit holder to build the subject structure
structurin e. Please cconsult withpyoiurr Home Owners Owners
�anreview �your deed for any testy that
ns which may apply. or prohibit such
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,
'Kcessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
"WARNING TO OWNER: YOUR FAnAM TO RECORD A NOTICE OF COW49KEMENT MAY RESULT IN YOUR PAYINC
TWICE FOR pgqWVEpIEKTS TO YOUR PROPERTY. A NOTKE OF CONINENCENENT MUST BE RECORDED AND
POSTE'} ON THE JOB SITE BEFORE THE FIRST IINSPECUM W YOU KTENO TO OBTAIN FMANCINC, CONSULT
WITH YOUR LENDER OR AN ATTORNEY Bid RED YOUR NOTKE OF COMMENCEMENT."
f��J
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/LiceraseHoLder
FLORIDA
FLO OF `
STATE OF FLORIDA �3 f STATE —
COUNTY OF �,3 6— f tt° _ COUNTY OF s
The for g instrument wa acknowledged fore me
this day of __, 20y
name of person making statement.
Personally Known DR Produced Identification
Type of Identitication
Produced
ISjgnatur of Notary Pt�- State of FioWda j
Comm
CommisftlIGG211111W
The forggipg instrum was cknowiedge efore me
this r day of� 20 by
Name of person making statement.
Kno�wn,� OR Produced Identification
!ratification
Produced
(Sig re q Notary Public- State of FloridAj,E
4
Commission g N�Seal)
E*wAp11l7,2=
oFwR� ION SEAI GROVE
REVIEWS ERVISOR PLANS
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE _`
RECEIVED _
DATE
COMPLETED