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Building Permit
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 06/21/2021 Permit Number: gu L O i - 7-- 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 Changout PROPOSED IMPROVEMENT LOCATION: Address: 8750 S Ocean Drive, Unit 1236, Jensen Beach, FL 34957 Property Tax ID #: 3535-601-0066-000-7 Site Plan Name: n/a Project Name: n/a DETAILED DESCRIPTION OF WORK: Residential X Like for like AC Change out/ Installing 3.5 Ton BOSCH watersource 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 _ Gas Tank —Gas Piping _ Shutters Electric _Plumbing _Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 2,800.00 — Generator Sq. Ft. of First Floor: Lot N o. Block No. Windows/Doors Pond Roof Pitch Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Kevin Goen Name: Kim Wilson Address: 8750 S Ocean Drive, Unit 1236 Company: Premier Plumbing and Air City: Jensen Beach, FL State: _ Zip Code: 35457 Fax: Phone No.812-344-4398 Address: 108 NE Dixie Hwy City: Stuart State: FL Zip Code: 34994 Fax: 772-692-2500 Phone No 772-692-1094 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 IVUIUC u1 wnsuuction is zDuu or more, a KtLUKUtU Notice of Commencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. Not Name: Address:_ y� City: t, State: Zip: Phone FEE SIMPLE TITLE HOLDER: Not Applicable tVame: — Address: City: zip: Phone: MORTGAGE COMPANY: Not Applicable Name: Address: kI,_ A.-" Tatty: I State: Zip: Phone- BOND114G COMPANY: Name: Address! City: Zip: Phone: _Not Applicable OWNER/ CONTRACTOR AFFtt3M* iil00o on 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 grantng a permit will authorize the permit holder to build the subject structure which is in conflict with arty applicable Herne Owners Association rules, bylaws orand covenants that may restrict or prohibit sucn structure. Please consultwrth your Home owners Association and review your deed for any restrictions which may apply. 0 Ixonsideration. 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 concurrency review: room additions, accessory structures, rxRmmng pools, fermi vpffs, signs, screen rooms and accessory uses. to another non-residentia l use `WALLING TO OV"M C YOUR FAMUME.T©! F r 01 W A NOTICE OF 31T MAY IRESULT NI! YOUR PAYHIC T"ICE FOR S TO YOU! RROMMM A NGTXE OF 3FIF MUST Bf RECORMD AND POST® ON TIE J08 SITE SOME TIE FillflST DWECTIM IF YOU WFEW TO OWAEII FMWOCNIG, CONSULT `04y" YOUR: LIB OR AN A7TlQFMT YOLK NOTWE OF Signature of Owner/ Lessee/was Atge; far Owner STATE OF FLORIDA COtJN TY OF S�. ~ . The forgq. 9 instrurr� t was acknowledged "before me this �71 b) day of I t-/. L 20-2J by 1 /Sovi Name of person making statement. Personally Known OR Produced tdentffication Type of Identification Produced jsignatur of Notary ic- State of } �IIiOt#!®6 REVIEWS COLINTER I REVIEW I REVIEW RECEIVED DATE Signature of Contractor/License Holder STATE OF FLORIDA / COUNTY OF The for instrum . was acknowledged before me this day of &A 2g1J, by Kim wd (�'Oy' Name of person making statement. Personally Known ✓pR.Produced Identification _ Type of Identification Produced (SlBrWUM of Notary Public- State of I Commission ld. ff`b�. M41LRUAM PLANS GROVE REVIEW REVIEW REVIEW I REVIEW