HomeMy WebLinkAboutTurner_ Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/28/2020 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 Changeout
PROPOSED IMPROVEMENT LOCATION:
Address: 8750 S Ocean Drive, Unit 434, Jensen Beach, FL 34957
Property Tax ID #: 3535-601-0016-000-2
Site Plan Name: n/a
Project Name: n/a
DETAILED DESCRIPTION OF WORK:
Like for Like AC Changeout. Installing BOSCH 3-Ton water source heat pump unit.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Residential X
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: $ 2,400.00
Sq. Ft. of First Floor:
Utilities: -Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name John Turner
Name: Kim Wilson
Address: 8750 S Ocean Drive, Unit 434
Company: Premier Plumbing and Air
City: Jensen Beach, FL State: _
Zip Code: 34957 Fax:
Phone No.772-229-8930
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
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 Appficable
Name:
Address:TT
City: State:
Zip: Phone
FEE SIMPLE TInE HOLDER: — Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address: -_A
City, State:
Zip: Phone:
BONDING COMPANY: _Not Applicabie -- --
Name:_
Address'
City:
Zip:
Phone: - -
OWNER/ CONTRACTOR AFF DYIT: ApOldigion is hereby made to obtain a permit to do the work and installation as indicated.
1-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 Hone Owners Assoc>ation rules, bylaws grand 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 1 will, in all respects, perform the work
in,accofdance 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, swimrrring pools, fenee,, walls, signs, screen rooms and accessaryy uses to another non-residential use
"WARNIING TO f>iWNEW YOUR FAXAWAE TO IEXOW A NOTICE OF T MAY RESULT N YOUR PAYING
TWICE FOR Mir EN" a TO YOUR RROP4R Y. A NOTICE OF !MIST BE RECORDED AND
POST® ON THE JOB SITE BEFOiW Tim FIRST DWTCFI N. IF YOU WTEN0 TO OBTANY FKANCNIG, CONSULT
`WITH lftam LOAM OR AN AfrosmY eiim REcopom Yon No7xx OF C "
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE O FLORIDA STATE OF FLORIDA u�,
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The for ng instrumgnt was acknowledged before me
this aZ day of 41.,0 C 2000by
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Name of person making statement.
Personally Known (/ OR Produced identification
Type of identification
Produced
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(Signaturif of Mary ic- State of F&Jfg}
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The forg ng instru� nt was acknowiedmd before me
thi�yon—Q 20 dU by
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Name of person making statement.
Personally Known 1__�011 Produced Identification
Type of Identification
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