HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/09/2019 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
PERMIT TYPE:Other
1 PROPOSED IMPROVEMENT LOCATION: I
Address: 8750 S Ocean Drive PH-37, Jensen Beach, FL 34957
Property Tax ID #: 3535-601-0091-000-1
Site Plan Name: N/A
Project Name: N/A
DETAILED DESCRIPTION OF WORK:
Like for Like AC Changeout. Installing BOSCH 5-Ton, 10KW ductless heater.
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 _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 4,000.00
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Frank Legacki
Name: Kim Wilson
Address: 8750 S Ocean Drive PH 37
Company: Premier Plumbing and Air
City: Jensen Beach, FL State:
Zip Code: 34957 Fax:
Phone No. 734-717-2139
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 preplbgac@gmail.com
State or County LicenseCAC-033574
It value of construction is,5Z500 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.
Not
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
Name:
Address'
City:
Zip: Phone:
OWNER/ CONTRACTOR AFIFIDW: AppEcation 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 Horne Owners Association rules, bylaws Brand 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 1 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-residentia l use
"WARPAW TO OWNS YOUR FAMLLIRE TO RECORD A NOTICE OF COMPIENCENENT MAY RESULT IN YOUR PAYING
TWICE FOR II RMENOWS TO YOUR PROPERTY. A NOTICE OF CONINENCEMENT MUST BE RECORDED AND
POSTED ON THE ,JOS SITE BEFORE THE FAST INISPECTIORL IF YOU INTEND TO OBTAIN FINANCING, CONSULT
`wrm YOUR. LENDER OR AN ATroomy seen REcogym Yom NOTim OF COmmmicimm."
Signature of Owner/ Lessee/Contractor as.Agent for Owner
i
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF c �f ✓
COUNTY OF
The f r�roing instrum t w s acknowledgebefore me
this � day of 2Q by
The f Ing instrument as aFknowled before me
this 7bay Of 20 by
KI M W 1� boy
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
ersonally Known % OR Produced Identification
�ifYrat'ion
Type o en cation
Produced
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Produced
15ignatur of Notary P . ic- State of Fl a l
(Signature Notary Public- State of Florid
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