HomeMy WebLinkAboutCrisafulli_Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02/4/2020 Permit Number:
a
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:
Building Permit Application
Commercial Residential X
Address: 9600 S Ocean Drive , Unit 403, Jensen Beach, FL 34957
Property Tax ID #: 4502-620-0021-000-0
Site Plan Name: n/a
Project Name: n/a
DETAILED DESCRIPTION OF WORK:
Like for like AC changeout. Installing TRANE 2.5 Ton AC unit, 16 Seer, 8kw heater.
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: $ 1,900
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Dale Crisafulli
Name: Kim Wilson
Address:45 Southwood Dr
City: Slingerlands, NY State: _
Zip Code: 12159 Fax:
Phone No.518-852-1011
Company: Premier Plumbing and Air
Address: 108 NE Dixie Hwy
City: Stuart State: FL
Zip Code: 34994 Fax:
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
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.
vca..anz.sfcrw�tgccR: __ Nox Applicame
Name:
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: Phone:
BONDI14G COMPANY: —Not Applicable
Name:
Address'
City:
Zip: Phone:
OWNER/ CONTRACTOR AFRDVIT Apolcaeon 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 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 Home Owners Association rules, bylaws or.and covenants that may restrict or prohibit such
structure. Please consult with your Nome owners Association and review your deed for any restrictions which may apply.
In consideration of the grantingof 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 oxempt from undergoing a full concurrency review: room additions,
accessory structures, swirrwning pots(s, feral Walls, sips, screen rooms and accessory uses to another non-residential use
"WARNING TO OWNER: YOUR FAMINE. TO 1111111111119WRID A NOTICE OF 34T MAY RESULT IN YOUR PAYING
TT4CE FOR 0-131 31111111111T5 TO YOUR PROPWTV. A NOTICE OF MUST BE RECORDED AND
POSTED ON THE JOB SATE BMW THE FAST 801PECi10N. IF YOU r11TEND TO OBTAN wNANCING, CONSULT
`"TN YOIJ► : Lamm ORAN ATT RIIIET BEFGW NECORDIING YOtlI>E MGM OF ."
Signature of Owner,
Signature of Contractor Alcense Holder
STATE Y FLORIDA S-�-
h �- COUNTY OFSTATE OF ORIQACOUNTY OF 7
The for .ng instrumen s acknowledged #sefore me
this M May of _ . 2Q by
Name of person making statement.
Personally Known � OR Produced Identification
Type of Identification
Produced
C) 4,12 2 a� ... ___
(Signatur4 of Notary it- State of )
commb R#t omw
REVIEWS
COUNTER I REVIEW I REVIEW
RECEIVED
DATE
The forgging instrume s acknowledged before me
this�� day of ib 26X by
Name of person making statement.
Personally Knowy OR Produced Identification
Type of Identification
Produced
(Signature or Notary Pubric- State of F
4 Commission 4 . r°t._ APIO.l=
PLANS GROVE
REVIEW REVIEW REVIEW I REVIEW