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HomeMy WebLinkAboutSasso_ Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 08/20/2019 Permit Number: • M � Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT TYPE:Other PROPOSED IMPROVEMENT LOCATION: Building Permit Application Commercial Residential X Address: 9415 S Ocean Drive, Unit 9, Jensen Beach, 34957 Property Tax ID #: 3535-333-0001-310-8 Site Plan Name: n/a Project Name: n/a 6 DETAILED DESCRIPTION OF WORK: Like for Like AC Changeout. Installing TRANE 2.5 -Ton Unit. 16.5 Seer, 5-kw. CONSTRUCTION INFORMATION: Additional work to be performed under this permit —check all that apply: ✓ Mechanical _ Gas Tank _ Gas Piping _ Shutters Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 2,000.00 Generator Sq. Ft. of First Floor: Lot No. Block No. Windows/Doors Roof Pitch Utilities: —Sewer _ Septic Building Height: OWNERAESSEE: CONTRACTOR: Name Frank Sasso Name: Kim Wilson Address: 9415 S Ocean Drive Unit 9 Company: Premier Plumbing and Air City: Jensen Beach, FL State: _ Zip Code: 34957 Fax: Phone No. 203-288-5831 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 — uI Va.— uu Vll ID 747VV Vf ITIVUU, d KCI.VKutu rvonce or Lommencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: — Not Applicable Name: Address City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: — Not Applicable Name: Address: City; State: Zip: Phone: BONDING COMPANY: Not Applicable Address' City: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. [-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, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use `VARNING 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 StSPECTION. W YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." L t_J 4L,1�5� Signature of Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA ( ( / ( COUNTYOF (7` b- The forgoing instrum nt was ac nowledged before me this O&I'day of 11i, • "- 20_a by K l lv) 1k)! lso-►,i Name of person making statement. Personally Known �_ __ DR Produced Idwitification Produced f (Signatur4 of Notary P ic- State of F16'11da } Commission Coadasltxi # GG 2@A404 Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF 7 The forgoing inst entwas ac nowledged before me this`Ziay of f LA Cl 201 q by Name of person m Aing statement. ersonally Known OR Produced Identification Type o n ical n Produced Commission Public- State of 1T, 2022 REVIEWSa ERVISOR PLANS V GROVE COUNTER REVIEW I REVIEW REVIEW REV EW REVIEW REVIEW i DATE LRECEIVED— DATE 1 COMPLETED