HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 05/07/2021 Permit Number:
_J ' ;.
`- � g pp 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: 9600 S Ocean Drive, Unit 1505, Jensen Beach, FL 34957
Property Tax ID #: 4502-620-0113-000-2
Site Plan Name: n/a
Project Name: n/a
Residential X
DETAILED DESCRIPTION OF WORK:
Like for like AC Changeout. Installing 2.5 Ton TRANE AC unit. 16 Seer with 8 KW Heat strip.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No._
Block No.
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: $ 2,200.00 Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Sharon Cikanek
Name: Kim Wilson
Address: 9600 S Ocean Drive, Unit 1505
Company: Premier Plumbing and Air
City: Jensen Beach, FL State: _
Zip Code: 34957 Fax:
Phone No.224-392-0144
Address: 108 NE Dixie Hwy
City: Stuart State: FL
Zip Code: 34994 Fax: 772-692-1094
Phone N0772-692-2500
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 requires.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
Name:��
Address:
City: State:
Zip: Phone
;FEE SIMPLE TITLE HOLDER: — Not Applicable
Name:
Andress:
City:
Zip: Phone:
MORTGAGE COMPAMjt: _Not Applicable
Name:_r/ `�'
Address:
City: State:
Zip: Phone:
BOND114G COMPANY: _Not Applicable
Name:
Address.'
City:
Zip: Phone: ---
OWNER/ CONTRACTOR AFRD IT: Applca6on 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 istenting a permit will authorize the permit holder to build the subject structure
which is in conflict yrith arty applicable Hrne £i Flom Assoctabon rules, bylaws strand covenants that may restrict or prohibit such
structure. Please consult wrth your Home Owners Association and review your deed for any restrictions which may apply.
ilrl, ,onsideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
Iin accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
' The following building permit applications are exec from undergoing a full concurrency review: room additions,
accessory structures, swimming piotWs, fertwu waft, signs, screen rooms and accessory uses to another non-residential use
"WAtitllg M TO OYffAM YOUR FAMIM.TO 11103COM A MdTKE OF WIN WICIONNIT MAY RESULT IN YOUR PAYI111C
TV4CE FOR MRON 311611111111S TO YOUM PROPMTY. A NGTK:E OF MUST BE RECOWED AND
POSTED ON TIE JOB SITE 80M TM FIRST TtOlAI. IF YOU WFE TO OBTAN F NUkNCWG, CONSULT
`WITH TOUR. LEM= OR AN ATT RECOIDYIIG YOUR NOME OF "
i Signature of Owner/ Lessee/Contractoras.Agentfor Owner Signature of contractorAlcense Holder
j STATE OF FLORIDA f STATE OF FLORIDA
COUNTY OF T : L• ,;"i COUN Y OF r J
The f rgoing instrur�i�t was acknoadedged-be€ore me
this_ da, of I 1 ( 20 Z( by
m W iScvq
Name of person making statement.
Personally Known ✓ OR Produced identification
Type of Identification
produced
(Signatunil of Notary Ic- State of )
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REVIEWS
COUNTER I REVIEW I REVIEW
IVED
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The forgoing instru _ffnt was acknowledge efore me
thisday of 20 by
l c for)
Name of person mailing statement.
Personally Known ✓ OR Produced Identification
Type of Identification
Produced
(Signature of No Public- State of I
Commission ' ;Y
117,2122
PLANS ATRWGROVE
REVIEW REVIEW REVIEW I REVIEW