HomeMy WebLinkAboutBuilding Permit 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: 000u � ocean urlve, unit luu/, Jensen Beach, FL 34957
Property Tax ID #: 3535-602-00089-000-7
Site Plan Name: n/a
Project Name: n/a
DETAILED DESCRIPTION OF WORK:
Like for like AC changeout. Install BOSCH 3-ton water soure heat pump Unit. 10KW.
Lot No._
Block No.
r CONSTRUCTION INFORMATION: —I
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: $ 2,500.00
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic
Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Joseph Gustin TR
Address: 8880 S Ocean Dr, Unit 1007
Name: Kim Wilson
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)
If vnlnn of
E-Mail prepibgac@gmail.com
State or County License CAC-033574
�, a rvULMt: vi w.vmmencement IS required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
NOT Applicable
Name:A
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name: —
Address: -
City' State:
Zip: Pttone-
SONDING.COMPANY: Not Applicable
Name:
Address.'
city.
Zip: Phone:
OWNER/ CONTRACTOR AFFIDI IT Appfiicamon is hereby made to obtain a permit to do the work and installation as indicated.
[-certify that no work or installation has commenced prior to the issuance of a permit,
St. Lucie Counttyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
structure. Please consultwrth your Home Owners Association and review your
which is in contfictyvith any applicable Horne Owners Association rules, by}aws orancovenantsthat may restrict or prohibit such
deed for any restrictions which may apply.
In consideration of the granting of this requested permit,) 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 concurrency review: room additions,
accessory structures, switmrting pools, fer4M Walts, sips, screen rooms and accestwymses to another non-residential use
"WARNNG To YOUR FAILURE TO SECOND A NOTICE OF COMMEN SLANT MAY RESULT W YOUR PAYING
TIKE no TO TOM PROPIKIM. A NOTICE IN .CoMmENCEMENy MUST BE RECORDED AND
POSTED ON THE JOIB SITE ONKM THE FINIST ■ILSaPSCFX N. IF YOU MiTEIIID TO OBTAIN I MI ANCING CONSULT
`WIT" YOUR: LOAM .OR AN ATT lnrilm wnstFc nc � '
Signature of Owner/ Lessee/ as.Agent for Owner Signature of contractorAlcense Holder
STATE OF FLORIDA. JJ
COUNTY OF ShSTATE OF FLORIDA
COUNTY OF 7 � / � ��,(
C�.-
The forgoing instrumet►t Wlras aeknowl before me The f�o�rgoing instrume was acknowledged before me
this day of ' 20' t by this i s day of 20N by
m ai%t iSal Kim -i
Name of person making statement. Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification
Produced
ri. A L2
(Signatur4 of Notary rc= State of )
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REVIEWS
1 WUN I CK I REVIEW I REVIEW
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Personally Known OR. Produced Identification
Type of Identi Ica ion J
Produced
tbignature of Notwy Pubric- State of I
Commission APtS.1iElt
IT,=
REVL IE1W I REREVIEW REVIEWVE