HomeMy WebLinkAboutBuilding Permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 06/19/2020 Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:AC Changeout
PROPOSED IMPROVEMENT LOCATION:
Address: 9500 S Ocean Drive, Unit 1509, Jensen Beach, FL 34957
Property Tax ID #: 4502-602-0143-000-5
Site Plan Name: n/a
Project Name: n/a
DETAILED DESCRIPTION OF WORK:
Like for Like AC Changeout. Installing 2.5 Ton BOSCH water source heat pump.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit– check all that apply:
Mechanical
Electric
Gas Tank
_ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 2,250.00
—Gas Piping
Sprinklers
_ Shutters
Generator
Sq. Ft. of First Floor:
Residential X
Lot No.
Block No.
Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Alexis Wakefield
Name: Kim Wilson
Address: 9500 S Ocean Drive Unit 1509
Company: Premier Plumbing and Air
City: Jensen Beach, FL State: _
Zip Code: 34957 Fax:
Phone No. 334-549-2759
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
IT value or construction is isuu or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
Name:_
Address:
City:
Zip:
Phone
State:
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 AFFIDViT: Application 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.
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 Home Owners Association rules, bylaws or and 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, l 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 pools, fences, walls, signs, screen rooms and accessary uses to another non-residential use
"WARNING TO OWNER: YOUR FARURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR I TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. W YOU INTENO TO OBTAIN FWANCMIG, CONSULT
WITH YOM LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
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Signature of Owner/ Lessee/Contractor as.Agentfor Owner
Signature of Contractor/License Holder
STATE OF COUNTY OFORIDA . 6, l^t I COUNTY OF FLORIDA '__ J
The f ing instr4Mgnt was acknowledged before me
this day of J U-eU , 20-70 by
Name of person making statement.
Personally Known �_ OR Produced identification
Type of Identification
Produced
1
(Signatur of Notary P ic- State of Florida j
1.
Commission
Coaaabft#tG2MQ4
REVIEWS
COUNTER I REVIEW ! REVIEW
DATE
RECEIVED
DATE
COMPLETED
The forgoing instrument was acknowiedged before me
this JIL- day of `T44 -,t. , 202V by
K M 11 d ors
Name of person making statement.
Personally Known✓ OR Produced identification
Type of Identification
Produced
I
(Signature Notary Public- State of Florld
Commission .APRILBRUMLEY
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PLANS I V GROVE
REVIEW REVIEW REVIEW I REVIEW