HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 05/12/2020 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
PERMIT TYPE:AC changeout
LROPOSED IMPROVEMENT LOCATION:
Address: 8750 S Ocean Drive, Unit PH-47, Jensen Beach, FL 34957
Property Tax ID #: 3535-601-0101-000-5
Site Plan Name: n/a
Project Name: n/a
DETAILED DESCRIPTION OF WORK:
Like for like AC Changeout. Installing BOSCH 3-Ton- water source heat pump unit.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 1,600.00
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic
Lot No.
Block No,
Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name David Bowes
Name: Kim Wilson
Address: 8750 S Ocean Drive- Unit PH-47
Company: Premier Plumbing and Air
City: Jensen Beach, FL State: _
Zip Code: 34957 Fax:
Phone No. 703-946-8312
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 Value oT construction Is :>ZSUU 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.
uca�eeiiitit>lER; Not Applicable `��IJ
MQRTGAGE COMPANY:
Not Applicable
Name: Name:
Address: Address:
I City: State;
City:State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not ApplicableJAddress!
ONDING C�MMPANY: Not Applicable
Name: ame;
Address: City: ity.
Zip: Phone: Zip: Phone:
OWNER/ CONTRACTOR AFR€ VIT AP0 cation 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.
w Lucie n untyconflict
makes no representation that is tenting a permit will authorize the permit holder to build the subject structure
which is in conflict yvith any applicable Name owners As ociation 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 requested permit,) 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 exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming
po,ols,fieit, Waits, sus, screen rooms anti accesslyuses to another non-residential use
"WARNING To OwNNK YOUR FARAi - 70 RECORD A NOTICE OF MAY RESULT N YOUR PAYING
TWICE FOR MMsRAYEB1611ItT5 TO TOM PROPERTY. A NOTICE OF 1ST BE RECORDED AND
POSTED OM THE JOB SITE SHOW TM FIIR5T ■ WECTIOK I F YOU WTEIIR>i TO OBTAW FBEANCING, CONSULT
`yorlm' YOUR: LEMM OR AN ATfO"MI BARE RECORDIING YOM NOTICE OF "
Signature of Owner,
Signature of Contractor LLicense #folder
TE
COUNTY
OFLORIDA STATE OF FL
4. 1� +er°. COUNTY CIF4R#QA
The forgoing instrumMaY__,20,JO
wacknowledged before me
this � day of by
Ki 1'Y1 Uh scr"
Name of person making statement.
Personally Known ✓ OR Produced identification
Type of identification
Produced
(Signaturif of Notary pdSrt= of J
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COUNTER I REVIEW REVIEW
DATE
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The ongoing instrum was acknowledged before me
this 'Y` day of _ a 20 20, by
Kim I't ,
Name of person making statement.
Personally Known �� OR. Produced identification
Type of Identification
Produced
Public- State of
Commission & AMMIALEY
REVL GROIEW I REVIEW REVIEW REVIEWVE