HomeMy WebLinkAboutSohn_Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/05/2020 Permit Number:
0
L"` 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 Changeout
PROPOSED IMPROVEMENT LOCATION:
Address: 8800 S Ocean Drive, Unit 210, Jensen Beach, FL 34957
Residential X
Property Tax ID #: 3535-603-0014-000-4 Lot No.
Site Plan Name: n/a Block No.
Project Name: n/a
DETAILED DESCRIPTION OF WORK:
Like for like AC Change out. Installing BOSCH 4 -ton water source heat pump unit.
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: $ 2,700.00
Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Pitch
Utilities: -Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Otto E Sohn Revocable living Trust
Name: Kim Wilson
Address: 8800 S Ocean Dr, Unit 210
Company: Premier Plumbing and Air
City: Jensen Beach, FL State: _
Zip Code: 34957 Fax:
Phone No. 248-909-6783
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 CFC -1427780
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.
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: — Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: - State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address'
City:
Zip: Phone: -- -
OWNER/ CONTRACTOR AFFiDMT: Application is hereby made to obtain a permit to do the work and installation as indicate.
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 Herne Owners Association rules, bylaws cirand 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, l do hereby agree that i will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Godes and St. Lucie County Amendments.
The following b>silding permit applications are exempt from undergoing a full rnncurrency review: room additions,
accessory structures, swimming pox4s, fenem, waft, signs, screen rooms and accessory usesto another non-residential use
"WARNM TO OWMX YOUR FAILURE TO RECORD A NOTICE OF MAY RESULT NiI YOUR PAYING
TWIM FOR TO YOUR iPRO111019M. A NOTICE OF ENEMY MUST BE RECORDED AND
POSTED ON THE XW SM BEFOW TM FIRST MPECTION. IF YOU INTE LEI TO OBTAIN I`11INANCuiG, CONSULT
`Yff" YOUR LOAM OR AN ATP8INEY 8111�1111E FAXORDW YCM N071M OF
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Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FL
CQ NTYOFCN2tDA 4ucle'
The for ing instrumel1(?ryt wa(/ s acknowledged before me
this day of /20by
KIM ISorp
Name of person making statement.
Personally Known /� _ OR Produced identification
Type of identlflcation
Produced
L 4=2 ik'� a:�
(Signatur4 of Notary is State of l
Signature of Contractor/License Holder
STATE OF FLORIDA ` f7
COUNTY OF f
The for g instrum ;qwas acknowledged before me
this day of 20 _0by
l VJ t I (:� ori
Name of person making statement.
Personally Known Z— OR Produced Identification _
Type of Identification
Produced
o
(Signature ofNotary Public- State of Florid
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Commission 1 .i M201011 )
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DATE
RECEIVED
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DATE
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