HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 05/03/2021 Permit Number:
'"L7 LI.LLL
C
'�`�� Building pp 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: 9500 S Ocean Drive, Unit 1305, Jensen Beach, FL 34957
Property Tax ID#: 4502-602-0119-000-8 Lot No.
Site Plan Name: n/a Block No.
Project Name: n/a
DETAILED DESCRIPTION OF WORK:
Like for Like AC Changeout. Installing 3.5 BOSCH water source heat pump AC Unit. No seer or 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: $ 2,800.00 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Judith Liben Name: Kim Wilson
Address:130 Norht Wood Court Company: Premier Plumbing and Air
City: Chesire, CT State:_ Address: 108 NE Dixie Hwy
Zip Code: 06410 Fax: City: Stuart State:FL
Phone No.203-464-0140 Zip Code: 34994 Fax: 772-692-1094
E-Mail:n/a Phone No772-692-2500
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.
DE Not Applicable MORTGAGE COM AIVY: Not Applicable
Name: L( K} - Name: 1�(
Address: Address:
City: State. City: State:
Zip: Phone Zip: Phone:
, .SEE SIMPLE TITLE HOLDER: _Not Applicable � SONDIMG COMPANY: _Not Applicable — —
Name: Name:
Address: Address'
i City: City: __--
Zip: Phone: Zip: Phone:
i
OWNER CONTRACTOR AFC:, capon 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*th any applicable Hc Owners Association rules,bylaws grand covenants that may restrict or prohibit sucn
structure. Please consult wrth your Home Owners Association and review your deed for any restrictions which may apply.
.,onsideration 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 appiications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming paois,femora,vpHs,suss,screen rooms and accessory uses to another non-residential use
"wApjsi6 TO t YOUR F .TO A NDTKE OF MAY VdRSMT IN YOUR PAYING
TV4M FOR R TO YOUR R TY. A NOTKE OF MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFON TW FMST 11119rECTUM IF YOU WTEW TO WTAIN FNiANCING, CONSULT
`MTM YOM LBOM OR AN AT IMM soon @@gMqX YCM N07K3E OF
Signature of Owner/Lessee/Contractoras Agent for Owner � Signature of Contractor/License Holder
j STATE OF FLORIDA f STATE OF FLORIDA __ j
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COUNTY OF c'� : hu�L� COUNTY OF 7 Lr f�
The forrg�ooing instru ent�t�ra acknowieci before me The farng instrt� ent was acknowledged before me
this day of f 2084 by this 3 day of OL 20 by
Name of person making statement. tame of person making statement.
Personally Known L/ OR Produced Identification Personally Known OR Produced ldentificati— -
i Type of Identification Type of Identification
i 1 Produces! Produced
i y
t ksignatur of Notary ic-State of I (Signature [teary Public-State of Horid
} f commission
Commission - y 2" a!)
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