HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07/18/2019 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
Address. 7440 S Ocean Drive, Building A- Unit 826, Jensen Beach, FL 34957
Property Tax ID #: 3522-602-0331-000-6
Site Plan Name:
Project Name:
Like for Like AC change out. Installing TRANE 2.5 ton 16 seer.
CONSTRUCTION INFORMATION:
XT
Ck _, r a ... 11 ...r! :.
Lot No._
Block No.
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 2,500.00
Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Victoria Villalba
Name: Kim Wilson
Address: 7440 S Ocean Drive
Company: Premier Plumbing and Air
City: Jensen Beach, FL State: _
Zip Code: 34957 Fax:
Phone No. 786-797-4473
Address: 108 NE Dixie Highway
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 prepibgac@gmail.com
State or County License CAC 033574
It value of construction is 52500 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.
-DESIGN ER/ENGINEER: Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: ^ Not Applicable
Name:_
Address:
City:
Zip:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phan
BONDING 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.
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 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,
.-+ccessory 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA�
COUNTY OF <_
The for ing instrument v/as acknowledged before me
this day ofTL,1_L -A ,?,Qi�by
rb1 ` 0-v1
Name of person making statement.
OR Produced ide rtification
Type of Identification
Produced
Signature of Contractor/License Holder
STATE OF FLORIDA � J /�„j
COUNTY OF 7 +�
The f ing instrum . t w s acknowledged efore me
this day of , 2Q by
Name of person making statement.
ally Knows� OR Produced Identification
e` enn>�tion
Produced
(Signatur of
Notary P b1Tc- State of Fla da)
(Signature o Notary Public- State of Florida,)
Commission
�"
I Commission?
APRILBRUMLEY (SeaWwm l)
1s=n # GG 2081A
o. _„ ea
Cammissian # 6G 208f 94
7,2022
� tan
1fi;2022
7
,.
uruin
bf�
_
REVIEWS"
ERVISOR
PLANS
V
GROVE
i
COUNTER
REVIEW
I REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
_......
DA'T E
.....
_......
RECEIVE))
DATE
COMPLETED
Rev. 2/7[15