HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02/18/2021 Permit Number:
O �
Building Permit Application
Planning and Development 5ervices
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34992
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: MECHANICAL
PROPOSED IMPROVEMENT LOCATION:
Address: 12465 SE HARBOUR RIDGE BLVD UNIT 2-8
Property Tax ID #: 4425-620-0016-000-6
Site Plan Name:
Project Name:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: I
LIKE FOR LIKE - REPLACE EXSITING AC UNIT WITH A 3 TON TEMPSTAR 14 SEER R410
AH - FEM4X3600 HEATER - 10 KW
COND - N4H436GKG
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: $ 2,200
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
0 W N E RAESSEE:
CONTRACTOR:
Name JEFFREY GUSTAFSON
Name: OSCAR A CALZADILLA
Address: 4830 BUTTERFIELD RD
Company: UNICO AIR CONDITIONING CO
City: HILLSIDE State: _
Zip Code: 60162 Fax:
Phone No.
Address: 1711 SUNSET ISLE RD
City: FT PIERCE State: FL
Zip Code: 34949 Fax: 772-674-7525
Phone No 772-678-7525
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail marty@unicohvac.com
State or County License CAC1814920
If value of construction is 2500 or more, a RECORDED Notice of Commencement is requirea.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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
bylaws that
which is in conflict with any applicable Home Owners Association rules, or and covenants 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 paying twice for
improvements to your property: A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recording ce of Commencement.
Jet-t rey CSUS �SO�'1
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signatur of Contract /L e e Holder
STATE OF FLORIDA
STATE OF FLOR
COUNTY OF MARTIN
COUNTY OF MARTIN
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or_ Online Notarization
this 18 day of FEBRUARY 2020 by
x Physical Presence or Online Notarization
this to day of FEBRUARY 2020 by
JEFFREY GUSTAFSON
OSCAR A CALMILLA
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 No Public- St ,' • •", _ MARTA M. AGUIRRE
' My COMMISSION # GG 191
Commission No. GG191327 ,Y$cal-
_Y-XPIRES: March 9, 2U"
,.;,
eri.;:' 6 nded Thru Notary Public Under'krs
I ature of Nota
ti MA TA M.AGUIRRE
GG191327 �x�., hly CO �{ON#GG 191327
CO ISSIOn NO. r .1.
EX rch 9, 2022
5oPdod ihm Nutin, Public lhrderwj:ers
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.
Unico Air Conditioning Company
1711 Sunset Isle Rd
Ft Pierce, FI 34949
Phone: (772) 678-6676 Fax:(772)647-7525
Contract
Billing Address Document Number 51007510346
unico Air Conditioning Company 2/5/2021
1711 Sunset Isle Rd
Ft Pierce,Fl 34949
Shipping Address:
Jeffrey Gustafson
12465 SE Harbour Ridge Blvd
Unit 2-8
Palm City, FI
Terms of payment:
Net 15 Days
Term of delivery:
ZOR(FOB Origin)
Equipment ready for pick up at HD Supply
Item
Material/Description
Quantity
Unit Price
Amount
1
Install Indoor/Outdoor AC Unit
1
$2,200.00
$2,200.00
Int. Article No. 25937855
3 ton Tempstar 14 Seer R410
y�
Signature: \� e LEI C.7u<,tak 6 n
Subtotal:
$2,200.00
Tax:
Shipping
Grand Total:
$2,