HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01 /19/2021
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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 Changeout
PROPOSED IMPROVEMENT LOCATION:
Address: 9600 S Ocean Drive, Unit 709, Jensen Beach, FL 34957
Property Tax ID #: 4502-620-0054-000-0
Site Plan Name: n/a
Project Name: n/a
DETAILED DESCRIPTION OF WORK:
Like for like AC Changeout. Installing 3.5 Ton Trane Unit. 16 Seer. 10 KW Heater.
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: $ 2,100.00
_ Generator
Sq. Ft. of First Floor:
Residential X
Lot No.
Block No.
Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name John Canterbury
Name: Kim Wilson
Address: 10 Aurora Ct
Company: Premier Plumbing and Air
City: Doylestown, PA State: _
Zip Code: 18901 Fax:
Phone No.267-337-0043
Address: 108 NE Dixie Hwy
City: Stuart State: FL
Zip Code: 34994 Fax: 772-692-1094
Phone No772-692-2500
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.
uENIUMNIIERMWER: _ Not Applicable
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 AFRDVrT: App4catiion 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 Horne Owners Association rules, bylaws errand 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, switv»itag {oats, feneM wall, signs, screen rooms and accesscwy uses to another non-residentia l use
"WAPMW TO OWNM YOUR FAR,iME TO FIECOM A NOTICE OF MAY RESULT w YOUR PAYINC
TV4xE FEl1R` TO YOUR RROPiRTY. A NOTICE OF NWT BE RECORDED AND
POSTED (W TIM JOB SITE BOOK TIM FRIST 3 SPEC ION. IF YOU KMW TO OBTAIN FINANCING, CONSULT
`"M lril : LBO= OR AN ATTOMW 1111MIIIIIIIE IIIECOROM YOUR NOTICE OF "
Signature of Owner/ Lessee/Contractoras Agefft for Owner Signature of Contractor/License Holder
STATE OF FLORIDA n i STATE OF FLORIDA
COUNTY OF COUNTY OF ---
The fo Aig instrument was acknowledged before me
this M day of --JA rl , 20J by
M U)I Isue
Name of person making statement.
Personally Known V' OR Produced identification
Type of Identification
Produced
The lnstrumen was acknowledge efore me
thisrd7y of 20by
t sOr)
Name of person making statement.
Personally Known �_ OR Produced identification
Type of Identification
Produced
AL o
(signatur4 of Notary is State of l (Signature of Notary Public- State of FloridkLj
Commission CommissionAPI. al)
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