HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11 /8/2019
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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: AC Changeout
PROPOSED IMPROVEMENT LOCATION:
Permit Number:
Building Permit Application
Commercial Residential X
Address: 8750 S Ocean Drive, Unit 735, Jensen Beach, FL 34957
Property Tax ID #: 3535-601-0035-000-1
Site Plan Name: n/a
Project Name: n/a
DETAILED DESCRIPTION OF WORK:
Like for Like AC Changeout. Installing 3 -Ton BOSCH -water source heat pump system. 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: $ 3,000.00
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Nathan Glenn
Name: Kim Wilson
Address: 8750 S Ocean Dr, Unit 735
Company: Premier Plumbing and Air
City: Jensen Beach, FL State: _
Zip Code: 34957 Fax:
Phone No. 517-499-3741
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
IT value oT Construction is :�ZSUU 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.
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Name: •���__��►i Address -
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMP��1)jr: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: ^'Not Applicable
Name:
Address'
City:
Zip: Phone: ----
OWNER/ CONTRACTOR AFRDW.- 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 Assocwtion rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your borne 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, fenee5, walls, signs, screen rooms and accessory uses to another non-residential use
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF MAY RESULT IN YOUR PAYING
TWXE FOR V TO YOM PROPEM. A NOTIX Of CONINIIENCEMENT MJST BE RECORDED AND
POSTED ON THE JOB SITE BDOM THE FMST RMWECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
`wu" YoRt. LItJI m on AN ATi'ommi Y Boom wcoRom YiMlIiE NOTICE OF COMil"CEMENT."
Signature of Owner/ Lessee/Contractor as.Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA j
STATE OF FLORIDA j
COUNTY OF L-(tr-
COUNTY OFlit C_ ---
The f9rgoing instrume t s acknowl ore me
The forgoing instru �!n was acknowled efore me
this day of 20 by
this � day of !� 2Q by
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Name of person making statement.
Name ofperon making statement.
�P:e,s�onallynow OR Produced identification
Personally Known OR Produced Identification _
cation
a of Identif on
Produced
Produced
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(Signatur of Notary P it:- State of Fl a)
(Signature Notary Public- State of FloridkLJ
Commission o '+`�
Commission - APlti-131111LUB alj
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i DATE
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DATE
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