HomeMy WebLinkAboutMcCollin_Building Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/9/2019 Permit Number:
COUNTY A—
F L 0 R I V A --� I
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 TYPEAC changeout
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Address- 10410 S Ocean Dr, Unit 206, Jensen Beach,FL 34957
Property Tax I D #: 4511-514-0006-000-1 Lot No.
Site Plan Name: n/a Block No.
Project Name: n/a
1 —1
DETA LED DESCRIPTION OF WORK:
Like for like AC changeout. Installing BOSCH 3-ton, water source heat pump. 10 KW.
JCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
—Mechanical — GasTank Gas Piping Shutters Windows/Doors
— Electric — Plumbing Sprinklers Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: Utilities: —Sewer —Septic Building Height:
Name David McCollin
Name: Kim Wilson
Address: 10410 S Ocean Dr. Unit 206
Company: Premier Plumbing and Air
City: Jensen Beach, FL State:
Address: 108 NE Dixie Hwy
Zip Code: 34957 Fax:
City: Stuart State: FL
Phone No. 917-361-4666
Zip Code: 34994 Fax: 772-692-1094
E-Mail:
Phone No 772-692-1094
Fill in fee simple Title Holder on next page if different
E-Mail preplbgac@gmail.com
State or County License CAC-033574
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
utmiiaritmf tril"I"ttm NOT AppliCame MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip:. Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:—
— Not Applicable
BONDI14G COMPANY: Not Applicable
Name:
Adclress�
City:
Zip: Phone:
OWNER/ CONTRACTOR AFRDVIT.- Aloprication is hereby made to obtain a permit to do the work and installation as indicated,
1-certify that no work or installation has commenced prior to the issuance of a permit,
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
wh ich is in conflict)Wth any applicable Home Owners Asiciciation rules, bylaws prand covenants that may restrict or prohibit such
structure. Please consult with your Home Owners AssocJation and review your deed for any restrictions which may apply.
I n consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concur.rency review: room additions,
accessory structures� swimming pools, fences, wafts, signs, screen rooms and accessory uses to another non-residentia I use
"WARNING TO OWNEW. YOUR FAMME TO REMAD A NOTXE OF CONIMENCEMENT MAY RESUILT IN YOUR PAYINC
TWIICE FOR — TO TOUIR PROPWff. A NOTX3E Of C4011111ENCEMENT MlUST BE RECORDED AND
POSTED ON THE JM SITE BEFORE THE RRST ]INSPECTUM V YOU INTENO TO OBTAIN FINANCIING, CONSULT
'Wrr" YOUR� LENDER OR AN ATTOINKY BEFORE RECORDIING YOUR NOTIKE OF COMMENCEINIENT."
Signature of Owner/ Lessee/Contractor as Agefftftr Owner
Signature of Contractor/License Holder
i STATE OF FLORIDA
STATE OF FLORIDA
COUNTYCIF
COUNTY OF
The f ing instrurriot wa$ acknowl me
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Name of person making statement.
Name of person making statement.
Personally Know OR Produced Identification
Personally Kn OR Produced identification
Type of Identifim ion
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Type of Ide ion
Produced
Produced
(Signatur 4ofNotary PMi—c--State of 17110-1fda)
(Signature ot ary Public- State of FloridkL)
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DATE
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Kev. 277719