HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/06/2017 Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34.932
Phone: (772) 462-1553 Fax: (772) 462-1573 Cor nmercial Residential x
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 7421 PINE LAKES BLVD
Legal Description:
Property Tax ID #: 3422-596-0007-0008 —
Site Plan Name:
Project Name: _ARIUM PINE LAKES APT ^_
Setbacks Front--- -, _,_� Back:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE A!C CHANGE OUT
A/H MODEL # FFMANR025
CONDENSER MOD`L # CA14NA018
Right Side: ,— Left Side:
1.5 TON
14 SEER
5 KV',,'
CONSTRUCTION 'INFORMATION:
A3((��tTc7rnauork to ne erfiC irmec� uFder this permit =chic
ZHVAC E] Gas Tank F]Gas Piping
J ElectricLJ Plumbing Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 2,200_00
OWNER/LESSEE:
Lot No.
---
Block No.
appy:
Shutters Windows/ Doors
F__
Generator Roof L_ _ J Roof pitch
Sq. Ft.
of First
E]
_
Utilities: l] Sewer i.. �.1 Septic
Name -SR CARROLL ST JUICE LLC
j Address: 3340 PEACHTREE RD NE SUITE 2250
I rity.. ATLANTA State: GA
7ip Code: 3032E — Fax:
Phone No. 772-245-4530
E -Mail: Pm ^apl;rvcarrollmg.com _
Fill in fee simple Title Holder or. next Gage ( if different
from the owner listed above)
`..6N M R_A4 0___R
Building Height:
Name: OSCAR A CALXADiLLA
Company: _UNIC;O AIR CONDITIONING COMPANY
Address: 25 SW CABANA POINT CIRCLE --`
City: STUART �-State: FL
Zip Code: 34997 Fax: 772-647-7544
Phone No. 305_528-1392
E -Mail: marty@unicohvac.com
State or County License: CAC1814920
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLENIENTAL CONSTRUCTION LIEN LAW iNi`JRi<JiATION:-A-___-________
~DESIGNER; ENGINEER: x
Not Applicable
MOR T GAGE COMPANY: —
Not Applicable
Name: BR CARROLL ST LUICE LLC
Name: OSCAR A CALZADILLA
Address: 7421 PINF LAKES BLVD
Address: 3340 PEACHTREE RD NF SUITE 2250
City: ATLANTA
State: _
City: STUART —.
State:
Zip: Phone_
Zip: _ Phone:
_
FEE SIMPLE TITLE HOLDER: �—
Not Applicable
pp
BONDING COMPANY:
Not Applicable
Name:_
Name:
—
Add ress:25SwCABANAPOINT CIRCLE
_
_
1 Address:
City:
—
City:
—_ _
Zip: _ Phone:
_« _--
Zip: Phone:
— I
OWNER/ CONTRACTOR AFFIDVIT: Application 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. t.ucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration 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, Swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Com iencement mu - ed and posted on the jobsite
before the first insp . If you intend to obtain financing, r, iih len r or an attorney before
commencing woof r _ your Notice of Commencer
Signature of
STATE OF FLORIDA
COUNTY OF MARTINCQUNTV
actor as Agent for Owner i Sknature of Cont,/acto?Ven;e Holder
STAT£OF FtOWWA
COUNTY OF MARTIN--',
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 6 day of DEC 20_v by I this 6 _ day of Dcr 20A- by
OSCAR A CALZADILLA OSCAR A CALZADILLA
Name of person making statement �— Name of person making statement
Personally Known _ x OR Produced Identification — _ Personally Known Yom_ OR Produced Identification
Type of identification Type of Identification
Produced
L W_Agoc)��
(Signature of Notary ic- State of Florid 1 _ -- ---�_ (Signature of Notary Pu I State of Florida
T AGUIRRE
Commission No. FF0951 ,q'P'�Y ;., Fad ra1-,, MARTA AG
F
MYGIGN#FF09512�1 Commission No. _
" EXPIRES: March 9, ?-.018 f~MY COMM
ISSIGN # FF 095121•
N %F '' c = Bonded Thru Notary' Public l Indemritzrs P ::,:'. �+- EXPIRES: March 3, 2018
„f _ ---- ^^ — .Er°�'
Bonded Th
REVIEWS FRONT I ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER i REVIEW REVIEW I REVIEW REVIE REVIEW REVIEW
DATE
RECEIVED
LCOMPLETED
Rev. 8/2/17