HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/22/2021 Permit Number:
Q 1:: LAC
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: 8750 S Ocean Drive, Unit PH-54. Jensen beach, FI 34957
Property Tax ID#: 3535-601-0108-000-4 Lot No.
Site Plan Name: n/a Block No.
Project Name: n/a
DETAILED DESCRIPTION OF WORK:
Like for Like AC Changeout. Installing BOSCH 3.5 Ton water source heat pump. EER 13.6,No heater with this unit at install so no KW.
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 _Windows/Doors _ Pond
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 2,400.00 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Rory DeJohn Name: Kim Wilson
Address:8 Deyon Ct Company: Premier Plumbing and Air
City: Branford, CT State:_ Address: 108 NE Dixie Hwy
Zip Code: 06405 Fax: City: Stuart State:FL
Phone No.203-481-9033 Zip Code: 34994 Fax: 772-692-1094
E-Mail: Phone No 772-692-2500
Fill in fee simple Title Holder on next page( if different E-Mail preplbgac@gmail.com
from the Owner listed above) 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.
„€F,:'
Not Applicable MORTGAGE COMP Y: Not Applicable
Name: Name: (
Address: Address:
City: State: City:
Zip: Phone State:
Zip:. Phone:
j FEE SIMPLE TITLE HOLDER: —Not Applicable BONQlMG COMPANY: Nor Applicable
Name: Name:
Address: Address' —
City: City:
Zip: Phone: I Zip: Phone: ----
OWNER/CONTRACTOR AFC:AP04cation is hereby made to obtain a Dermit 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 with arty applicable House Owners Association rules,bylaws vrand covenants that may restrict or prohibit sucn
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,swinmting pools,fences.WalK signs,screen rooms and accessory uses to another non-residential use
"WARMYG TO OlNNIM YOUR FAMAX E.TO RECORD A NOTICE OF MAY RESULT IN YOUR PAYING
TWKE FOR .M Y . TO TOLM PROPXR Y. A NATIICE OF r I I MENCENENT MUST BE RECORDED AND
POSTED 014 THE JOB SITE BOOM TIM FNW]INSPECTION. W YOU INTEND TO OBTAIN FOLANCING, CONSULT
`V%M YOUR!LEN=OR AN ATT1111111111111M BEFOW RECORDOW YCM N0TK3E OF C ”
l
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
i
STATE OF FLORIDA STATE OF FLORIDA
I COUNTY OF COUNTY OF 7
The f_Ting instru nt was acknowledged before me The forgoing instrurpent as acknowledged S efore me
this day 2QLJ by this a-) day of 20 a b
Name of person making statement. tame of person making statement,
i
i Personally Known OR Produced identification Personally Known L--* — OR Produced Identification
Type of Identlflcation Type of Identification -
I Produced Produced
'(Sig
Signatur of f'lOtary icm State of 3 {Signature Notary Public-State of FloridkLi
j Commission �+. �IIY
f t Commission kcal
£Y6621IE#Si
%=&2
��i7,M22REVIEWSRViSOR PLANS SEA TURTLE GROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
( DATE —
RECEIVED
DATE j
' COMPLETED
e -