HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 05/04/2020
COUNTY "PW . `�
F i@ R I D 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:
Permit Number:
Building Permit Application
Commercial Residential X
Address: 9600 S Ocean Drive, Unit 905, Jensen Beach, FL 34957
Property Tax ID #: 4502-620-0068-000-1
Site Plan Name: n/a
Project Name: n/a
DETAILED DESCRIPTION OF WORK:
Like for like AC Changeout. Installing 2.5 Ton TRANE unit. 16 Seer, no heat pump.
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
Total Sq. Ft of Construction:
Plumbing _ Sprinklers
Cost of Construction: $ 2,100.00
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Alice Higgins
Name: Kim Wilson
Address: 9600 S Ocean Drive, Unit 905
Company: Premier Plumbing and Air
City: Jensen Beach, FL State: _
Zip Code: 34957 Fax:
Phone No,n/a
Address: 108 NE Dixie Hwy
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
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.
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:
BOND114G COMPANY: Not Applicable
Name:
Address'
City:
Zip: Phone:
OWNER/ CONTRACTOR AFRDVrT Application 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 with arta applicable Horne Qwners Asiociation rules, bylaws orand 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 reque%ed 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 ap..plications are txergA from undergoing a full concurrency review: room additions,
accessory structures, swhriming pools, fermi, waft, signs, screen rooms and accessory usesto another non-residentia l use
"WARNING TO O YOUR FAXAXK,TO RECO= A NOTICE. OF C ff MAY RESULT W YOUR PAYING
TV4CE FOR M ► N{5 TO TOM PROPSM. A NBTKE OF NUST BE RECORDED AND
POSTED ON THE JOB SITE BOOM TME FIRST 11IMPECTUM IF YOU KFEMU TO OBTARII FINANCING, CONSULT
`1'y1TM YOUR LEMER OR AN ATT81MV RECORDWG YGM NOTM E OF -"
Signature of Owner/ Lessee/Contractor as.4;—d for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA 0/—
COUNTY OF `i!` : h CACI. ` COUNTY OF 7
The forgoing instrum nt wa acknowledged before me
this qt" day of i 2Q2 by
Name of person making statement.
Personally Known ✓/ OR Produced Identification
Type of identification
Produced
r) 44=2 2 a=;��
(Signatur4 of Notary ic- State of FWft )
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DATE
The far,$otrig instrur� n, t wa acknowledged before me
this °- " day of 20�D by
s
Name of person making statement.
Personally Known OR Produced identification
Type of Identification
Produced
n 'a=�2 L==Z:�n
{Signature Notary Public- State of FloridkLJ
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