HomeMy WebLinkAboutBuilding Permit AppliicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/7/2019 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:AC Changeout
PROPOSED IMPROVEMENT LOCATION:
Address: 8650 S Ocean Drive Unit LN-1, Jensen Beach, FL 34957
Property Tax ID #: 3534-501-0001-000-47
Site Plan Name: N/A
Project Name: N/A
DETAILED DESCRIPTION OF WORK:
Like for like changeout AC. Installing 5-Ton TRANE split system. 16 Seer, 10 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 _ 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:
OWNERAESSEE:
CONTRACTOR:
Name Arthur Fiocco
Name: Kim Wilson
Address: 8650 S Ocean Drive, Unit LN-1
Company: Permier Plumbing and Air
City: Jensen Beach, FL State: _
Zip Code: 34957 Fax:
Phone No. 908-963-0905
Address: 108 NE Dixie Highway
City: Stuart State: FL
Zip Code: 349994 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 OT construction Is :�Z5UU 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:
Zip: Phone
State:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMP NY: _ Not Applicable
Name:/q—
Address:
City: State:
Zip: Phone -
BONDING COMPANY: ^Not Applicable
Name:
Address'
City:
Zip: Phone: --
OWNER/ CONTRACTOR AFROVIT: 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 yrith 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
"WARNING TO OWNER: YOUR FAMLURE TO RECORD A NOTXE OF MAY RESULT Ntl YOUR PAYING
TWICE FOR TO YOUR PROPERTY. A NOTICE OF COMMENCE11114ENT MUST BE RECORDED AND
POSTED ON THE .IOB SITE BIEPORE THE FIRST IE1SPECi10N. IiF YOU IINTEND TO OBTANIi FM{ANCING, CONSULT
`WITH YOUR. LENDER OR AN ATIVIIIIINEY BOOM RECORDW YOM NOTICE OF COMMENCEMENT."
Signature of Owner/ Lessee/Contractor as.Agent for Owner
i
Signature of Contractor/License Holder
STATE OF FLORIDA ( /
STATE OF FLORIDA
COUNTY OF
COUNTY OF
The forgoing instrument as acknowledged before me
The far Ing instru was acknowledgv before me
this -�day of ` 0 V 20a by
this day of d U 20 by
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Kl M Waoy-�
Name of person making statement.
tame of person making statement.
d ersonally Known OR Produced Identification
ersonally noKnoK wrr OR Produced Identification
Type of Identification
cation
Produced
Produced
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i (5ignatur4 of Notary P is State of FI a }
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(Signature ofNotary Public- State of Florid
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REVIEWS ERVISOR
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COUNTER REVIEW REVIEW
DATE
REVIEW REVIEW REVIEW REVIEW
RECEIVED
DATE
COMPLETED
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