HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 04/26/2021
L, u!'ELL
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: 9500 S Ocean Dr, Unit 1401, Jensen Beach, FL 34957
Property Tax I D #: 4502-602-0125-000-3
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 seer or KW.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
Lot No.
Block No.
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 Denise Gortian
Name: Kim Wilson
Address: 9500 S Ocean Dr, Unit 1401
Company: Premier Plumbing and Air
City: Jensen Beach, FL State: _
Zip Code: 34957 Fax:
Phone No.610-348-6109
Address: 108 NE Dixie Hwy
City: Stuart State: FL
Zip Code: 34994 Fax: 772-692-1094
Phone No 772-692-2500
E-Mail:n/a
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.
1JtbMM1VIExWWER: /A' _ Not Appf'rcable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
-Address:
city:
zip: Phone:_
Not Applicable
MORTGAGE COMP Y: _ Not Applicable
Name: ,q
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Nat Applicabie
Name:
Address'
City:
Zip: Phone: —_ - -
OWNER/ CONTRACTOR A lf'i: ApOlcktion 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 grantirt a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Hem Owners Assoctatiun rules, bylaws or -anti comants that may restrict or prphibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
0 ,4onsideration 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 concurrent- review: room additions,
accessory structures, swkviftng pools, fert+ %tails, signs, screen rooms and accesswcuses to another non-residentia I use
"WARPING TO tm#IHM YOUR FA11 AM TO RE+f01111 A NOTRA OF MAY RESULT W YOUR PAYING
T"" PEAR 94011111 TO YOAt PROP11IRTY. A NOTKE OF 311T MUST BE RECORDED AND
POSTED ON TIE JOB SITE THE FIRST 11110PK71011. IF YOU VUENU TO OBTAN FNiANCN IC, CONSULT
`VAT" ]TOUR: I== On AN ATTMIEY 111MM RECOIDYIIG YOM NOTXX OF ."
;Zf— L_J
Signature of Owner/ Lessee/Contractoras.Ageirt€ar Owner
Signature of Contractor/License Holder
�TATE OF
CCXJNTVOf tNttDA tinC, COUNTYF�FLQRIt?A f�-�--
The for nng instru nt was knowleckW Yore me
this day of �, 2D;21 by
Naive of person making statement.
Personalty Known V OR Produced identification
Type of Identification
tl�roduced
.,ri. AiC� P�
isignatur of Lary ic---State of
REVIEWS
TE
ETED
COUNTER I REVIEW I REVIEW
The =rng mstru rttwas knowledged efore me
thisy of 20iby
Kim & _Cn
Name of person making statement.
Personally Known ✓ OR. Produced Identification _
Type of Identification
Produced
State of
Commission 4AV.%�> APMLMMEY
PLANS GROVE
REVIEW REVIEW REVIEW I REVIEW