HomeMy WebLinkAboutRichardson_ Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07/14/2020 Permit Number:
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 Change Out
PROPOSED IMPROVEMENT LOCATION:
Address: 9bUU 5 Ocean Drive, Unit 506, Jensen Beach, FL 34957
Property Tax ID #: 4502-620-0033-000-7
Site Plan Name: n/a
Project Name: n/a
I DETAILED DESCRIPTION OF WORK:
Like for Like AC Change Out. Installing 2.5 Ton TRANE -16 Seer - 8KW heater.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 2,000.00
_ 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 Barry Richardson
Name: Kim Wilson
Address: 399 Hotel Rd
Company: Premier Plumbing and Air
City: Auburn, ME State: _
Zip Code: 04210 Fax:
Phone No.207-240-3360
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 prepibgac@gmail.com
State or County License CAC- 033574
-� - �• ��••��•���•�•• •� 111ulc, d ncwnvry rvunce oT commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
.,....—1'§c.V NOtAppliicable
Name: I
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMP NY: Not Applicable
Name: —
Address:
City. State:
ZIP: Phone:
DOND114G.COMPANY: Not Applicable
Name:
Address?
City:
Zip: Phone.
OWNER/ CONTRACTOR AFROVIT• APPrIication 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.
w Lucie n conflict
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 Norm Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Hoare Owners Assoclatlon and review your deed for any restrictions which may apply.
in consideration or 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 exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fenees, galls, signs, screen rooms and accessory uses to another non-residential use
"WARNING To OWmW YOUR FA1111RE TO RECORD A NOTICE OF MAY RESULT IN YOUR PAYING
TM►ICE FOR ti�►EMEN�S TO TOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR: LOOM OR AN ATTORNEY ROOK RECORDW YOUR NOTICE OF C ICMENT_"
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of ContractorJlicense Haider
STATE OF FLQRiDA jj
COUNTY OF7 : cI^Eta
The for ing instrument s acknowledged before me
this I"ilaY _ N, 2U -XI by
1'1 i m Wi 1Sovl
Name of person making statement
Personally Known_ OR Produced Identification
Type of Identification
Produced
{Signatur of Notary PtI15 ic- State of Flarfda )
Commission
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tiii�i%�'si +��iY�iYii•:rt� `re+�lifi�if�j i�ii�l)•.
_ COUNTER REVIEW 1 REVIEW
DATE
RECEIVED
DATE
COMPLETED
STATE OF FLORIDA
COUNTY OF
The far ing instrument w s acknowledged before me
this. ay of _ ' IA �`20a-v by
KIM
IAJ
Name of person making statement.
Personally Known i,— OR Produced Identification
Type of Identification
Produced
t5ignature I Netary Public- State of Flory
Commission l� '`: �
:Y N E 117,GYii
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PLANS TiRT
REVIEW REVIEW REVIEW
f MGROVE
REVIEW