HomeMy WebLinkAboutKwon_ Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 08/11/2020
S ` LUC0LE
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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: 8880 S Ocean Drive, Unit 1104, Jensen Beach, FL 34957
Property Tax I D #: 3535-602-0096-000-9
Site Plan Name: n/a
Project Name: n/a
DETAILED DESCRIPTION OF WORK:
Like for Like AC Change out. Installing 3 -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:
Residential X
Lot No.
Block No.
_Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 2,600.00
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWN'ERAESSEE:
CONTRACTOR:
Name Pattie Kwon
Address: 3314 Washington Rd
Name: Kim Wilson
Company: Premier Plumbing and Air
City: West Palm, FL State: _
Zip Code: 33405 Fax:
Phone No. 561-328-6345
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
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: 41
Address:
City: State;
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: IvIlm
City: State:
Zip:. Phone:
BONDING COMPANY: ,_Not Applicable
Name:
Address'
City: — ---
Zip: Phone:
OWNER/ CONTRACtOR AF1FtFM Appricatioh 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 yvith 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, 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, ferifts, walls, sighs, screen rooms and accessory uses to another non-residential use
"WARNMIG TO t>WNW YOUR FAILUIRE.TO RECOM A NOTICE OF MAY RESULT NII YOUR PAYING
TWICE FOR M ROVENWITS, TO TtKIR PROPERTY. A NOTXE OFC MUST BE RECORDED AND
POSTER ON THE JOB SITE BEFORE THE FIRST ]INSPECTION. IF YOU W1'ENO TO OBTAIN FNIANCING, CONSULT
W" YOUR LENOM OR AN ATTORNIET RECORDW YOUR NOTICE OF COMMENCEMENT."
Signature of Owner
Signature of Contractor/License Holder
STATE OF FLORIDAj I STATE OF FLORIDA_ j , f�
COUNTY OF S : 4ucll : COUNTY OF 7 u`.
The f rgoing instrum t was acknowledged before me
this day of iy 20L--J:by
1 C1f1 Acp
Name of person making statement.
Personally Known OR Produced identification
Type of identification
Produced
(Signatur of Notary PJ6 ic- State of "a'1
Commission o,,;. .�.
COMMM0#002111111101
REVIEWS
COUNTER I REVIEW I REVIEW
RECEIVED
DATE
COMPLETED
eev. 277TI9—
The fo ing rostrum twas acknowiedged before me
this I day of -1A0– 20.?& by
l oy
Name of person making statement.
Personally Knowny/ OR Produced Identification
Type of Identification
Produced
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(Signature INotary Public- State of FloridkLJ
Commission 4woffAPRLWAMV
PLANS GROVE
REVIEW REVIEW REVIEW I REVIEW