HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 05/05/2020 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
PERMITTYPE: AC Changeout
PROPOSED IMPROVEMENT LOCATION:
Address: 8750 S Ocean Drive, Unit 1134, Jensen Beach, FL 34957
Property Tax ID #: 3535-601-0058-000-8 Lot No.
Site Plan Name: n/a Block No.
Project Name: n/a
DETAILED DESCRIPTION OF WORK:
Like for like AC Changeout. Installing BOSCH 3-ton -water source heat pump.
A
CONSTRUCTION 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:
Ii Cost of Construction: $ 1,900.00 Utilities: —Sewer —Septic Building Height:
CONTRACTOR:
Name Keith Corlett Name: Kim Wilson
Address: 25 Stillwater Drive Company: Premier Plumbing and Air
City: State Hill, NY State: _ Address: 108 NE Dixie Hwy
Zip Code: 10973 Fax: City: Stuart State: FL
I Phone No. 845-591-7949 Zip Code: 34994 Fax: 772-692-1094
i E-Mail:n/a Phone No 772-692-2500
Fill in fee simple Title Holder on next page ( if different E-Mail preplbgac@gmail.com
from the Owner listed above) 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.
1
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Address -
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ty: State:
Zip: Phone
MORTGAGE CO PANY: Not
Name: Applicable
Address.
City: State:
Zip: Phone:
FEE SIMPLE TITLE HQLQER: — Not Applicable BONDIING COMPANY:
Name:
l Name:
Address:
, Address..
City:
City:
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F • Phone: I Zip: Phone:
_Not Applicable
OWNER/ CaNTRAC.rOR AFRI€ VIT: App icaVon 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 any applicable Hoare Owners Association rules, bylaws grand covenants that may restrict or prohibit such
structure. Please consult with your borne 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 Godes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures. swimming posts, fences, galls, signs, screen rooms and accessory uses to another non-residentia l use
"WARNNG TO OWNEW YOUR FAMUME TO NECOND A NOTICE OF MAY RESULT IN YOUR PAYINC
TV4CE FOR W- WEMEMIS TO YOUR PROPERTY. A NOTICE OF COMANCE11111EI1111IT MUST BE RECORDED AND
POSTED ON THE !OB SITE 80M THE FNST 11SPECTIOX IF YOU UREND TO OBTAIN FftWJ .ftG, CONSULT
s "1'YITH
YOUR. LOAM OR AN ATTAIBIIEY BERM RECORIIIIING YOUR NOTICE OF -"
Signature of Owner/ Lessee/Contra€tor as Agent far Owner
Signature of Contrartor/Llcense Holder
STATE 4. 4une, COUNTY OF FLORIDA
The for Ing instru r}$ ^ s acknowledged before me
this day of 20� by
�> of tSt�
Name of person making statement.
Personally Known OR Produced identification
Type of identification
Produced
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(Signatur4 of Notary PJ5 is State of )
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The forgoing instrumeAt was acknowiedged before me
this_ day of 2flo� by
Kim W11<'�
Mame of person making statement.
Personally Known --*"- OR Produced Identification__
Type of Identification
Produced
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(Signature IVotar Public- State of Horid
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