HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 05/04/2021
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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: 8880 S Ocean Drive, Unit 904, Jensen Beach, FL 34957
Property Tax ID #: 3535-602-0078-000-7
Site Plan Name: n/a
Project Name: n/a
Residential X
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK:
Like for like AC Changeout. Installing 3 -ton BOSCH water source heat pump AC Unit. No KW or seer.
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:
Cost of Construction: $ 2,800.00
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Beverly Foster
Name: Kim Wilson
Address:3428 Banks Mountian Place
Company: Premier Plumbing and Air
City: Gainsville , GA State: _
Zip Code: 30506 Fax:
Phone No.404-216-2626
Address: 108 NE Dixie Hwy
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.
Not
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: — Not Applicable
1 ame:
Atddress:
City:
Zip: Phone:
MORTGAGE COMP Y: _ Not Applicable
Name: (�
Address:
City: State:
Zip: Phone:
SONDIMG COMPANY: _Not Applicable
Name:
Address.'
City:
Zip: Phone: --- -
OWNER/ CONTRACTOR AFREWIT: ApOtation is hereby made to obtain a permit to do the work and installation as indicated.
1-certify that no work or installation has commented prior to the issuance of a permit.
St. Lucie County makes no representation that is grantfg a permit will authorize the permit holder to build the subject structure
which is in conflict *th any applicable Hem Owners Assoctatiott rules, by#aws orand covenants that may restrict or prohibit suen
structure. Please consult wrth your Home Owners Association and review your deed for any restrictions which may apply.
i 1,ronsideration 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 weexempt from undergoing a full concurrency review: room additions,
accessory structures, switvwMPg pools, fence %ohs, setts, screen rooms and accessory uses to another non-residential use
"WARNING TO OWNIM YOUR FAILURE TO REEOIID A NOTICE OF WIN MAY INSULT IN YOUR PAYING
T� FOR a TO Y" PROPOM. A NOTKE OF MUST BE RECORMO AND
POSTED ON TIE JOB SITE BEFOW TW FRIST NASPECTIOAL V YOU INTEND TO OBTAIN FiNANCING, CONSULT
"1'tf" Tom Lamm ow AN ATromm no4m vacono G Yom NI TKE w "
Signature of Owner/ Lessee/Contractoras.ftent'for Owner
i
Signature of ContractorAicense Holder
j STATE OF FLORIDA
STATE OF
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C0111V'iY OF � it
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COUNTYOF -7
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The fgrgoing instru nt wa acknowledged before me
this day of Q. 2D It by
TheWg instru t wa acknowledged before me
thisay of � 20-21 by
Kim, ISM
c 1 i on
Name of person making statement.
game of person making statement.
Personally Known ✓� OR Produced identification
Personally Known V�:_ OR.Produced identification
Type of Identification
Type of Identification
} Produced
Produced
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Notary Public- State of Rarid
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