HomeMy WebLinkAboutPermit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/12/2019 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. 8880 S Ocean Drive, Unit 1007, Jensen Beach, FL 34957
Property Tax ID #: 353-602-0089-000-7
Site Plan Name: n/a
Project Name: n/a
DETAILED DESCRIPTION OF WORK:
Like for like AC Changeout. Installing BOSCH 3-ton watersource heat pump. 10KW.
Lot No.
Block No.
f't
w; r s. N.14
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: $ 2,500.00
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Joseph Gustin TR
Name: Kim Wilson
Address: 8880 S Ocean Dr Unit 1007
Company: Premier Plumbing and Air
City: Jensen Beach, FL State: _
Zip Code: 34957 Fax:
Phone No.860-604-5356
Address: 108 NE Dixie Hwy
City: Stuart State: FL
Zip Code: 34957 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
it value or construction is >ZSuu or more, a RECURDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
- -,i. VUWy.Ff7vlrfGGIS: IV�j Apj}IICBDIE'
Name: r,
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name: iL!
Address:
City:
Zip:.
Phone. State:
BONDING COMPANY: Not Applicable
Name:
Address'
City:
Zip: Phone:
OWNER/ CONTRAC`rOR AFg1WlT � - cation 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 conflictyvith any applicable Nome Owners AsLxtation rules, bylaws grand 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,.l 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 oxempt from undergoing a full concurrgncy review: room additions,
accessory structures, swimming p"s, fer#W,, walls, sighs, screen rooms and accessory uses to another non-residential use
"WAR11NYG TO OWNEK YOta FAMUME.TO A MOT XX OF MAY RESULT IN YOUR PAYING
TWICE FOR .� , . TO TOM PROPSIM. A NO710E qF WJST BE RECORDED AND
POSTED ON THE XW SITE SNOW THE IIFI6T BMWECn .N. IF YOU WFEND TO OBTAIN �, CONSULT
`v4v" YOt11i: LEM= OR AN ATrQW T BARE II YOM NOTOCE OF
Signature of Owner/ Lessee/was Argent for Owner Signature of Contractor/License Holder
i
STATE OF FLORIDA STATE OF FLORIDA _ _ j
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COUNTYflF COUNTY OF :+
The forgoing instrum t was acknowl _more me
this day of �� , 20 ' - by
Isan
Name of person making statement.
Personally Known XOR Produced Identification
Type of Identification
Produced
(] 4=2 ,z::zL ..
(Signatur4 of Notary PJRli':-- of FW& )
REVIEWS
REVIEW
DATE
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The forgoing instrumis twas acknowledged before me
i v this day of _ 20Iq by
KI i soy-,
Name of person making statement.
Personally Known,�.� OR. Produced Identification
Type of ldentifica iot n -
Produced
Pubric- state of
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