HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07/24/2020 Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
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: 8880 S Ocean Drive, Unit 901, Jensen Beach, FL 34957
Property Tax ID #: 3535-602-0075-000-6
Site Plan Name: n/a
Project Name: n/a
I DETAILED DESCRIPTION OF WORK:
Like for Like AC Change out. Installing BOSCH 4 -ton water source heat pump.
New Electrical Meter Second Electrical Meter
I CONSTRUCTION INFORMATION:
Lot No.
Block No.
Additional work to be performed under this permit– check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 2,000.00
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name James Schneider
Address: 8880 S Ocean Drive , Unit 901
Name: Kim Wilson
Company: Premier Plumbing and Air
City: Jensen Beach, FL State: _
Zip Code: 34957 Fax:
Phone No. 301-613-7113
Address: 108 NE Dixie Hwy
City: Stuart State: FL
Zip Code: 34994 Fax: 772-692-1094
Phone No 772-692-2500
E -Mail:
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 vaiue or construction is Zsuu 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: State;
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name: >< 4
Address:
City: State:
Zip: Phone:
SOND114G COMPANY: —Not Applicable
Name:
Address'
City:
Zip: Phone:
OWNER/ CONTRACTOR AFROVIT 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 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, fence, walls, signs, screen rooms and accessory uses to another non-residential use
"WARNNG TO OWNEITC YOUR FAMLURE.TO RECORD A NOTICE OF 039CENEOff MAY RESUI..T EI! YOUR PAYING
TWICE FOR 'i S TO YOUR PROPERTY. A NOTICE OF CONIMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE SWORE Til# FOW ]INSPECiIORL IF YOU ILIUM TO OBTAIN FINANCING, CONSULT
NIITH YOUR: Loam .OR AN ATTtI11 Y soow RECORow yam NOTim OF CO YCEmENT."
L 1-i 4Lto'rlvl� -
Signature of Owner/ Lessee/Contractoras.A*eMfbr Owner
Signature of Contractor/Lice'nse Holder
STATE OF
COUNTY OFFLORIDA ( 6 on, , I CO NTYOFC1RIQA - J /- j� v
The for instrum t was acknowledged before me
thi day of 2Q7 by
Kim Ascat
Name of person making statement.
Personally Known✓ OR Produced Identification
Type of Identification
Produced
(Signatur of Notary Pd6 ic- State of a )
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REVIEWS L
COUNTER I REVIEW I REVIEW
DATE
RECEIVED
DATE
COMPLETED
The f r Ing instrument wap a nowledged before me
this day of I.� 20:20by
Kim W1 I 1�'Oy-1
Name of person making statement.
Personally Known :✓ OR Produced Identification__
Type of Identification
Produced
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(Signature I Notary Public- State of Floriclkl
Commission4WOR
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