HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �
Date: 03/30/2021 Permit Number: 0)1 03"O(�-1`N�
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: MECHANICAL
PROPOSED IMPROVEMENT LOCATION:
Address: 6617 WOOD ISLAND RD UNIT 6-304
Property Tax ID#: 3415-501-0058-000-2 Lot No.
Site Plan Name: Block No.
Project Name: KITTERMAN WOODS APARTMENTS
DETAILED DESCRIPTION OF WORK:
EXACT AC CHANGE OUT- REPLACE EXISTING AC UNIT WITH A 2 TON GOODMAN 14 SEER R410
AIR HANDLER: AWUF240816 HEATER: 5KW
COONDENSER: GSX140241
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: Sq. Ft. of First Floor:
Cost of Construction: $ 2200 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name KMJ APARTMENTS LLC Name:OSCAR A CALZADILLA
Address: 1831 SW 7th AVE Company:UNICO AIR CONDITIONING COMPANY
City: POMPANO BEACH State:_ Address: 1711 SUNSET ISLE ROAD
Zip Code: 33060 Fax: City: FT PIERCE State:FL
Phone No.772-4.61-0444 Zip Code: 34949 Fax: 772-674-7525
E-Mail: Phone No 776-678-6676
Fill in fee simple Title Holder on next page(if different E-Mail marty@unicohvac.com
from the Owner listed above) State or County License CAC1814920
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
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: City: State:
Zip: Phone 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
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 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 record' o of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signatur �VicensHolder
STATE OF FLORIDA STATE OF
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 x Physical Presence or Online Notarization
this 30 day of MARCH 2O20 b this da of MARCH 2O20 b
v v v
KARL DAVIS OSCAR A CALZADILLA
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 Nota ublic- ignature of Notary lic -
o< 'y •: MARTAM.AGUIRRE
= MARTAM.AGUIRRE
Commission No. GGts�327 � ';Q{�MISSION#GG191327 mmission No. GG191327 ? # MY(6�PASSION#GG191327
Q; IRES:March 9,2022 oPa= EXPIRES:March%2022
FOF pti�.` Bonded Thru Notary Public Underwrite
•..�F F�„• Sonded
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/20