HomeMy WebLinkAboutPietras_AC Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/20/2020 Permit Number:
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1. a 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 Changeout
PROPOSED IMPROVEMENT LOCATION:
Address: 9500 S Ocean drive, Unit 1508, Jensen Beach, FL 34957
Property Tax I D #: 4502-602-0142-000-8
Site Plan Name: n/a
Project Name: n/a
DETAILED DESCRIPTION OF WORK:
Like for Like AC Changeout. Installing 3-Ton Bosch, watersource heat pump.
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: $ 2500.00
Generator
Sq. Ft. of First Floor:
Lot No.
Block No.
-Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Paul Pietras
Address: 9500 S Ocean Dr Unit 1508
Name: Kim Wilson
Company: Premier Plumbing and Air
City: Jensen Beach, FL State: _
Zip Code: 34957 Fax:
Phone No. 772-229-8878
E-Mail:
Address: 108 NE Dixie Hwy
City: Stuart State: FL
Zip Code: 34994 Fax: 772-692-1094
Phone No 772-692-2500
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail preplbgac@gmail.com
State or County LicenseCAC-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 Applrcable
Name:
Address: TqffF
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: �r-r l
Address: �-C
City: State:
Zip: Phone:
BONDING COMPANY: _Not' Applicable
Name.
Address'
City:
Zip: Phone:
OWNER/ CONTRACTOR AFRDVIT: Apprication is hereby made to obtain a permit to do the work and installation as indicat eld.
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 Horne Owners Association rules, bylaws or and covenants that may restrict or prohibit suci
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 auilding Codes and St. Lucie County Amendments.
The following building permit applications are .exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pio,ols, ferees. Watts, signs, screen rooms and accessoryuses to another non-residential use
"WARMING TO t YOUR FAILURE TO RECORD A NOTICE OF MAY RESULT MY YOUR PAYING
TV4CE FOR EIIIIIIIIEN11S_ TO YOUR PROPERTY. A NGTICE OF MUST BE RECORDED AND
POSTED ON THE JOS SM BVKW "rW FBIST Il1SPECitOK W YOU IINTEW TO OBTAIN EUiANCING, CONSULT
`WIT" YOUR: LEMM OR AN ATrA1my Boom nECORDLW, Y@I!R Nona OF C ."
Signature of Owner/ Lessee/Contractor as agentfIor Owner
STATE OF C NTY OF FLORIDA S�. j
The forgoing instrument was acknowledged before me
thisolD day of 20;QS�Jby
Lim l!�1c ISM
Name of person making statement.
Personalty Known k OR Produced identification
Type of ldent#flcati n
CoNdW0I<092MM
REVIEWS
REVIEW I REVIEW
RECE
DATE
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF 7
The forgoing instrume twas acknowledged before me
this ;3b day of 20 QX)by
kl-1 ; Ism
Name of person making statement.
Personally Known OR Produced Identification
Type of Identifica ion
Produced
state of
Commission r a W&_ �`
om
PLANS GROVE
REVIEW REVIEW REVIEW I REVIEW I