HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03/10/2020 Permit Number:
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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 406, Jensen Beach, FL 34957
Property Tax ID #: 3535-602-0030-000-9
Site Plan Name: n/a
Project Name: n/a
Lot No._
Block No.
DETAILED DESCRIPTION OF WORK:
AC Changeout. Installing 3.5 Ton BOSCH Watersource heat pump.
CONSTRVION INFORMATION:
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: Sq. Ft. of First Floor:
Cost of Construction: $ 2,500.00 Utilities: —Sewer —Septic Building Height:
IrDWNER/ JS�E:
CONTRACTOR:
Name Charles Yoder
Name: Kim Wilson
Address: 8880 S Ocean Dr - Unit 406
Company: Premier Plumbing and Air
City: Jensen Beach, FL State: _
Zip Code: 34957 Fax: n/a
Phone No. 574-370-2072
Address: 108 NE Dixie Hwy
City: Stuart State: FL
Zip Code: 34994 Fax: 772-692-1094
Phone No772-692-2500
E -Mail: n/a
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 vawe OT construction is jZWU 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.
Not
Name: N �
Address: �—`T
City: State:
Zip: Phone_
FEE SIMPLE TITLE HOLDER: — Not Applicable
Name:
Address:
Cita:
zip: Phone:
MORTGAGE QOM MY: _Not '.
Name: —
Address:
City. State:
Zip: Phone:
BOND114G COMPANY: —Not Applicable
Name:
Address!
city:
Zip: Phone:
OWNER/ CONTRACTOR AFFiDVIT Appy capon 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 Nome Owners Association 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.
Inconsideration 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 Godes and St. Lucie County. Amendments.
The following building permit applications are oxempt from undergoing a full concurrency review: room additions,
accessory structures, swIRN ing po4s, fendes, Walls, sighs, screen rooms and accessory uses to another non-residential use
"WARNING TO OVVIIM YOUR FA .TO RiXOW A NOTICE OF MAY RESULT W YOUR PAYING
TSE FOR TO YOM! RROPSM. A NOTKE OF BE RECORDED AND
POST® ON THE JOS 'SfTE SMON THE FWST /1CSPEC710N. IF YOU IITM TO OBTAN FWAAN+CEMG, CONSULT
`MH YOUR: L DW .OR AN ATTGFMW SMG YOUR NOTXX OF
1
i Signature of owner/ Lessee/Contractor as.Aigent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA�1,
COUNTYOF c +. L• f,� Z�, COUNTY QF
The fg rgping InstrurDqnt was acknowledged before me
this -^: day of ft)n rcl r-1 200 by
_
Kim U) I Iso -In
Name of person making statement.
Personally Known , OR Produced Identification
Type of identiflcation
Produced
('_j'AQ=e2 E a=z:atL ..
(Signatur4 of Notary P ic- State of Fl . j
cI;lse>;Isoa�
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The farming instcum nt was acknowledged before me
this. D" day o"f WWA 0 24Ja by
Kim 1A)i 1 4�o 1
Flame of person making statement.
Personally Known OR. Produced identification
Type of Identification
Produced
(Signature of Notary Public- State of l
Commission l>' -
PLANS I ElUETATION I SLATURTLE'711MIGROVE
REVIEW REVIEW REVIEW I REVIEW