HomeMy WebLinkAboutMahoski_ Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07/14/2020 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 Change Out
PROPOSED IMPROVEMENT LOCATION:
Address: 9600 S Ocean Drive, Unit 1203, Jensen Beach, FL 34957
Residential X
Property Tax ID #: 4502-620-0093-000-5 Lot No.
Site Plan Name: n/a Block No.
Project Name: n/a
DETAILED DESCRIPTION OF WORK:
Like for like AC Change out. Installing 2.5 Ton TRANE- 16-Seer - 8 KW 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 _ Windows/Doors _ Pond
_ Electric _ Plumbing
Total Sq. Ft of Construction: $1,900.00
Cost of Construction: $
Sprinklers _ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Michael Mahoski
Name: Kim Wilson
Address: 14 North Road
Company: Premier Plumbing and Air
Address: 108 NE Dixie Hwy
City: Stuart State: FL
Zip Code: 34994 Fax: 772-692-1094
Phone No 772-692-2500
City: Oyster Bay, NY State: _
Zip Code: 11771 Fax:
Phone No. 516-987-5353
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 HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
Not
Name
Address: `
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPAN _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address'
Zip: Phone.
OWNS CONTRACTOR AFFIVIVIT 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 any applicable Horne 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, I dp 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 concurreincy review: room additions,
accessory structures, swimming pools, ferim, walls, signs, screen rooms and accessory uses to another non-residential use
"WARNMIG TO OWIIW YOUR FARIM TO RECOM A NOTICE OF MAY RESULT IN YOUR PAYING
TWICE FOR 'YEMENT'S TO TOUR RROPEliI!TY. A NOTKE OF COINNIENCEIIIIENT 111R1ST BE RECORDED AND
POSTED ON THE JOB SITE BOOK THE FIRST W YOU WTEND TO OBTAIN FIINANCING, CONSULT
Wff" YOUR: LENDER OR AN A770106Y BEFORE RECORDIING YtM NOTUX OF COMMKEMENT. "
Signature of Owner/ Lessee/Contractor as.Agent for Owner
Signature of Contractor/License Holder
i STATE OF FLORIDAFLORIDA
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The for trig instrumen was acknowledged before me
this day of 20 by
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this �ay of 2626 by
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Name of person making statement.
tame of person making statement.
Personally Known,_ CAR Produced identification
Personally Known t.�_ OR Produced Identification
Type of Identiflcation
Type of Identification
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