HomeMy WebLinkAboutDematteo_ Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/01/2019 Permit Number:
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: 9650 S Ocean Drive, Unit 2007, Jensen Beach, FL 34957
Property Tax ID #: 4502-610-0187-000-0 Lot No._
Site Plan Name: n/a Block No.
Project Name: n/a
I DETAILED DESCRIPTION OF WORK:
Like for like AC Change out. Installing BOSCH 3.5 Ton water source heat pump unit.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
�C Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 2,400.00
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Gloria Dematteo
Name: Kim Wilson
Address:9650 S Ocean Drive, Unit 2007
Company: Premier Plumbing and Air
City: Jensen Beach, FL State: _
Zip Code: 34957 Fax:
Phone No.631-445-7921
Address: 108 NE Dixie Hwy
City: Stuart State: FL
Zip Code: 34994 Fax: 772-692-1094
Phone N0772-692-2500
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 LicenseCAC-033574
VO UU u1.U11bLFUcuun is ?z3uu or more, a KtLUKULU Notice of commencement 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:
Name:
Address:
City:
Zip: Phone:
Not Applicable
MORTGAGE COMPA Y• _ Not Applicable
Name:
Address:
City; State:
Zip: Phone:
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 yvith any applicable Home Owners Association rules, bylaws orand 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
"WARNRNG TO OWNER: YOUR FAKUIE TO RECORD A NOTICE OF COMWJCEMMT MAY RESULT IN YOUR PAVING
TWICE FOR pNPROyEMENTS TO YOUR PROPERTY. A NOTICE OF CONINIENCEMENT MUST BE RECORDED AND
POSTED ON THE JON SITE BEFORE THE FIRST 91SPECTWN. W YOU INTEND TO OBTAIN FINANCING, CONSULT
`WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT:'
_�ZL �J 4L�, - - -
Signature of Owner/ Lessee/Contractor as.Agerit fbr Owner
Signature of Contractor/License Holder
STATE OF FLORIDA ( % STATE OF FLORIDA / � art
COUNTY OF j7 . 6� Ca l '.- COUNTY OF 7
The fo[&�?Jng instrum ty�+ s acknowledged before me
this _L_`_ day of
('X 20) by
Kl r�1 �1t iSo►
Name of person making statement.
Personally Kna nw I DR Produced Identification
Type of Identification
Produced
AO� i;� 4a=�
(Signatur4 of Notary PA- ic- State of Fl8eda }
Comm
CwAk t►*00x@6124
REVIEWS
COUNTER I REVIEW I REVIEW
DATE
RECEIVED
DATE
COMPLETED
The for ofng instrumf� w s acknowledge efore me
this �' day of t 20 by
Kim
VJ i I Sow
Name of person making statement.
Produced
OR Produced Identification
Notary Public- State of
t_ APRI SR1gdEY
Commission a
IT,
PLANS I V GROVE
REVIEW REVIEW REVIEW I REVIEW