HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12106/2017 Permit Number:
Building Perimit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential _ x
PERIViIT APPLICATION FOR: Mechanical
I PROPOSED IMPROVEMENT LOr,ATION
Address: 7444 PINE LAKES BLVD
Legal Description:
Property Tax ID #: 3422-596-0007-000-6 Lot No. _
Site Plan Name: Block No.
Project Name: ARIUM PINE LAKES APT
Setbacks Front-----,— rack: � Right Side: _ _ Left Side:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE A/C CHANGE OUT 2 TON
A/H MODEL # FFMANP025 14 SEER
CONDENSER MODEL # CA!4NA024 5 KEN
CONSTRUCTION INFORMATION:
LAajjd—it
jjionaTw 6_rl<toTj��je:rforrri`e�uriaer
1HVAC 1_.J Gas Tank Gas Piping Shutters Windows/Doors
Ir--rI
l.J Electric L_f Plumbing F]Sprinklers L Generator �� Roof Roof pitch
Total Sq. Ft of Construction: So. Ft, of First Floor: ----u
`— _�_
Cost of Construction: $ 2,200.00 Utilities: L �! Sewer i 1 Septic 8uiiding Height:
OWNER/LESSEE: I CONTRACTOR:
BR CARROLL ST LUKE LLC — � CALZ
Name Name: OSCAR A ADILLA
Address: 3340 PEACHTREE RD NE SUITE 2250 Company: UNICO AIR CONDITIONING COMPANY
City: ATLANTA^ State: GA Address: 25 SW CABANA POINT CIRCLE` _
Zip Code: 30326 Fax: � _ City: STUART�^---A—_ _ State: FL—
Phone No. 772-245-4530 Zip Code: 34997 Fax: 772647-7544 NT
E -Mail: pin. apl a carrollmg.corn Phone No. 305-528-1392
Fill In flee simple Title Holder on next page ( if different E -Mail: marty@unic'ohvac.corn
from the Owner fisted above) State or County License: CAC -1814920 _
If value of construction is $?500 or more, a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW !NFORMA.TION:
!;! SIGNERJENGINEER: X at Applicable
N —
MORTGAGE COMPANY:^ i ^Not Applicable
N a m e: BR CARROLL ST LUICE LLC
N a m e: OSCAR A CALZADILLA
Address: 7444 PINE LAKES BLVD
I Address: 3340 PEACHTREE RD NE SUITE 2250
City: ATLANTA _ State:
City: STUART
Zip: _-- Phone
_State:
Zip: Pnone: _
I
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FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: --Not Applicable
Nam
I e
Address: 25 SVJCABANA POINT CIRCL F ~
Address: - —�
_—
i City:_+
City:
_ —
Zip: — Phone:.------
Zip- _ Phone: _
Zip:
—�-
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. Lucie 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 Commencement must be recorded and posted on the jobsite
before the first i . n, If you intend to obtain financing, consul er or an attorney before
commencin ork rdin�ynur Notice of Commencement
- - ---- -- ._ - - - _ --
Signature o weer/ Les ontractor as Agent for Owner Signa( e of Cont act /L erase Holder! _
STATE OF FLORIDA 1 STATE OF
COUNTY OF MARTINCOLNrY_- _— I COUNTY OF MARTINt,OUJT,' —_----
The forgoing instrument was acknowledged before me � The forgoing instrument was acknowledged before me
this s day of DEC 20__— by this e day of DEC 20— by
I
OSCAR A CAL7ADILLA OSCAR A CAL ZADILLA
Name of person making statement Name of person making statement
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
—
Type of Identification Type of identification
Produced----------- .—_�-_---- Produced_—_-- _--
(Signature of Notary is State of Ftpri '' (Signature of Notary P E r N
MARTAAGUIRRE
Commission No. FFo 1z>ti?Y?;''��tI Commission No. FF 095 ;t. .= MY COM�A� S�(y FF 095121 I
F
J;81e_
EXPIRES: Match9, 2018
MEXPIRES: Match 9=.,_, of �,• Bonded Thru Notary Pubf�c Urdmi tern
Nota
Bon;led Thru
REVIEWS FRONT ZONING
-- I COUNTER REVIEW
SUPERVISOR i PLANS
REVIEW REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
IDATE--.I_.—__-----.��.---
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LCOMPLETED--
Rev.8/2/17
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