HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03/09/2021 Permit Number:
L.
Building pp 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: 9500 S Ocean Drive , Unit 301, Jensen Beach, FL 34957
Property Tax ID #: 4502-602-0015-000-9
Site Plan Name: n/a
Project Name: n/a
Residential X
DETAILED DESCRIPTION OF WORK:
Like for like AC Changeout. Installing BOSCH 3.5 Ton water source heat pump. No KW.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
Mechanical
Electric
_ Gas Tank
_ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 2,500.00
Gas Piping
_Sprinklers
Lot No._
Block No.
_ Shutters _ Windows/Doors _ Pond
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Neal Fischer
Name: Kim Wilson
Address: 9500 S Ocean Drive , Unit 301
Company: Premier Plumbing and Air
Address: 108 NE Dixie Hwy
City: Jensen Beach, FL State: _
Zip Code: 34957 Fax:
Phone No.585-905-9309
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.
Name -
Address, N
City: --�
State:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name,
Address:
City:
Zip: Phone:
— Not Applicable
MORTGAGE COMPANY: Not Applicable
Name: —
Address:
City: State:
Zip: Phone:
BONDING COMPANY: —Not Applicable
Name:
Address'
City:
Zip: Phone: —
OWNER/ CONTRACTOR: i4ppicaRon 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.
Swh ch is County
c onfli makes no
a° representation
Fame Qw5eerrstlng Assioc � trules,bylawsZorand covenants holder at build
a the
or pr structure
ch
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
,Igconsideration 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 oxempt from undergoing a full concurrency review: room additions,
accessory structures, swimming paois, fenas5, waft, sighs, screen rooms and accessory uses to another non-residentia l use
"WARNING TO O YOUR FAMLLME TO IIECOW A NOTICE OF C MIT MAY RESULT W YOUR PAYING
TWICE FOR MO+ON BONIS TO YOM PROPIER'TY. A NOTICE OF IMENCEMIENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEPIM THE FMST IELSPEC7110N. IF YOU WrEM TO OBTAIN F&LANCING, CONSULT
`r4TH YOU* LEIS OR AN ATT8&WY Btu IIIIECORDIK YOM NOTICE OF ."
Signature of Owne
er Signature of Contraetor/License Holder
STATE OF STATE OF
CQIINTY OF FLORIDA une, COUNTY O FLORIDA ---
The orliping instru t was acknowledged before me
this day of 20�1 by
Name of person making statement.
Personally Known �_ OR Produced Identification
Type of Identification
f Produced
(Signaturif of ry fc- State of )
Co
Dios#QQ2W*
REVIEWS
COUNTER I REVIEW I REVIEW
DATE
COMPLETED
ev.
The forlprig inst mentwas acknowledged before me
this f,� day of Q irr^ 20 by
Name of person making statement.
Personally Known V OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of Floc
Commission
.I�uIiY
i #002M
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