HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 04/20/2020 Permit Number:
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: 8750 S Ocean Drive, Unit PH -43, Jensen Beach, FL 34957
Property Tax ID #: 3535-601-0097-000-3
Site Plan Name: n/a
Project Name: n/a
I DETAILED DESCRIPTION OF WORK:
AC changeout- Installing BOSCH 4-Ton-watersource heat pump unit.
I 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: $ 1,900.00
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Shawn Fay Sr
Name: Kim Wilson
Address: 8750 S Ocean Drive Unit PH -43
Company: Premier Plumbing and Air
City: Jesnen Beach, FL State: _
Zip Code: 34957 Fax:
Phone No.412-973-5856
Address: 108 NE Dixie Highway
City: Stuart State: FL
Zip Code: 34994 Fax: 772-692-1094
Phone No 772-692-2500
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 value or consirucuon 1s >zsuu or more, a KECUKDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
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:
BONDING COMPANY: Not Applicable
Name:
Address!
City:
Zip: Phone: --
OWNER/ CONTRACTOR AFRDIIT Appicagon is hereby made to obtain a permit to do the work and installation as iindicated.
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 with any applicable Herne Owners Association rules, byiawsorand covenants that may restrict or prohibit such
structure. Please consult wrth your Home Owners Association and review your deed for any restrictions which may apply.
In 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. txerW from undergoing a full concurrency review: room additions,
accessory structures, swltmtriRg p"s, fer#Wu Walls, sighs, screen rooms and accessory uses to another non-residential use
"WARNING TO OMME YOUR FAXUK.TO KEWM A NOME OF MAY RESULT W YOUR PAYING
T WE FOR TO TOUR PROPERTY. A NOTKE OF 3111T ORM BE RECORDED AND
POSTED ON THE JOS SIM TIM FMSTN. F YOU �It1 E1R1 TO OBTANY FllWANU1IG, CONSULT
` fyRH YOB: .OR AN ATTOVARY BEFORE INECOROMW Y6l.IIlE NOTKE OF
Signature of Owne
Signature of Gontraetor%License bolder
STATE OF
COUNTY OF FLORIDA STATE OF hl ( COUNTY Qf FLORIDA Jar —
The forgoing instru ent was acknowledged before me
thisN�day of 20:20 by
Kim Int,/ J
Name of person making statement.
Personally Known OR Produced identification
Type of ldentiflca ion
Produced
C) 4=2
(Signaturif of N otaryic- state of Fkkft}
#®Dselll�i
REVIEWS
COUNTER I REVIEW ! REVIEW
RECEIVED
K41 IT,
The!orgmng instrumre 'was acknowledged before me
thif day of r, 20)0 by
Kim
Ilii t Or)
Name of person making statement.
Personally Known OR. Produced identification _
Type of Identifrat of n —
Produced
{Signature of No" Public- state of F
Commission i &. MWWAIM
PLANS GROVE
REVIEW REVIEW REVIEW I REVIEW