HomeMy WebLinkAboutGhorayeb_ Permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 08/19/2019
Permit Number:
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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, Unit 835, Jensen Beach, FL 34957
Property Tax ID #: 3535-601-0041-000-6
Site Plan Name: N/A
Project Name: N/A
DETAILED DESCRIPTION OF WORK:
Like for Like AC Changeout. Install 3-Ton BOSCH unit. 14.10 eer, 7-kw.
CONSTRUCTION INFORMATION:
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
Total Sq. Ft of Construction:
Plumbing _ Sprinklers
Cost6of Construction: $ 2,400.00
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Anthony Ghorayeb
Name: Kim Wilson
Address: 8750 S Ocean Drive Unit 835
Company: Premier Plumbing and Air
City: Jensen Beach, FL State: _
Zip Code: 34957 Fax:
Phone No. 305-321-4291
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 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.
Name:
Address: (�
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: ^ Not Applicable
Name:
Address:
Citv: --
Zip: Phone:_
MORTGAGE COMPANY: — Not Applicable
Name:
Address: (�
City:
�~ State:
Zip: Phone:
BONDING COMPANY:
Name:
Address'
City:
Zip: Phone:
—Not Applicable
OWNER/ CONTRACTOR AFFIDVff 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 yvith 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,
accTssory structures. swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
"WARIWNG TO OWNER: YOUR FAN.VRE TO RECORD A (NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR MOVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE .IOD SITEBEFORETHE FIRST BNSPEC ION. W YOU INTEND TO OBTAIN FWANCpNG, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT:'
�ZL t-i -
Signature of Owner/ Lessee/Contractor as.Age itfor Owner
1.
Signature of Contractor/License Holder
COUNTY OF ORIDA % ucl e' I COUNTY OFSTATE OF FORIDA sl /_-----
The forgoing instru'�j�ent was acknowledged before me
this ��``" day of FWAq^kd f , 26JI by
Name of person making statement.
OR Produced Identification
Type of Identification
Produced
( ignatur of Notary P ic-State of FI a j
Commi
CGwMAAft#6G2M94
REVIEWS
COUNTER I REVIEW ! REVIEW
DATE
RECEIVED
DATE
COMPLETED
The forgoing instrument was cknowiedged before me
this lqlT' day of RU0 0 T 20Iq by
Kim W 1 l s� ors
Name of person making statement.
�rsonally Known OR Produced Identification
Type o I entification
Produced
Public- State of
•yy,•,M fYRia:lM��i
Commission 1� =2M
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PLANS IVEUETATTCYN GROVE
REVIEW REVIEW REVIEW I REVIEW