HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/16/2019 Permit Number:
N
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: 8880 S Ocean Drive, Unit 202, Jensen Beach, FL 34957
Property Tax ID #: 3535-602-0006-000-2 Lot No.
Site Plan Name: n/a Block No.
Project Name: n/a
DETAILED DESCRIPTION OF WORK:
Like for Like AC Changeout. Installing BOSCH 3-ton Unit. 14.7 EER, no KW water source heat pump.
I CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 2,400.00.00
Sq. Ft. of First Floor: _
Utilities: —Sewer —Septic
Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Maria Feliciano
Name: Kim Wilson
Address: 8880 S Ocean Dr Unit 202
Company: Premier Plumbing and Air
City: Jensen Beach, FL State: _
Zip Code: 34957 Fax:
Phone No, 772-618-0248
Address: 108 NE Dixie Hwy
City: Stuart State: FL
Zip Code: 34994 Fax: 772-692-1094
Phone No 772-692-2500
E-Mail: n/a
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail perplbgac@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:
Name:
Address:
City:
_ Not Applicable
Zip: -
Phone:
MORTGAGE COMPA Y: — Not Applicable
Name: ��-
Address:
City. State:
Zip: Phone:
SONDING COMPANY: —Not Applicable
Name:
Address'
City:
Zip: Phone: ---
OWNER/ CONTRACTOR AFFIDVIT: Appficai6on 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,
accessory structures, swimming pools, fences, walls, setts, screen rooms and accessory uses to another non-residentia l use
"WARNII NG TO OWNER: YOUR FAMLURE TO RECORD A NOTICE OF CONNIENCENENT MAY RESUILT IN YOUR PAYING
TWICE FOR IRM ROVENIENTS TO YOM PROPERTY. A NOTKE OF CONINIENCEMENT MUST 13E RECORDED AND
POSTED ON THE ,JOB SITE SUM THE FiIRST BMWECUK IF YOU KI M TO OBTAIN FWANCING, CONSULT
`%M YOUR: LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTSCE OF COMMENCEMENT."
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
i STATE OF FLRUNTY pFQRIDAT 6� 41{�
COUNTY QFSTATE OF QRtDA ,_/ lG.
The f9r ng instrurrignt w s acknowl ore me
this day of , 20 by
The f r,�i.n�g instrume w s cknowledg efore me
this Tday o#� 20by
i 11'`1 W 1 I 0411
l W 1 OY
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
on
y on
Produced
Produced
I
jSignatur of Notary P is state of Fl a j
(Signature Notary Public- State of Florid
Commission o
1 -i1R1lgri !
Commission I ' . � tY al
titri00201 M`
2072
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Kev. 21//19