HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: I _
Building Permit 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
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
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Address: 7568 Pine Lakes Blvd, Port St Lucie, 34952
Legal Description:
Property Tax ID#: 342259600070006 Lot No.
Site Plan Name: Block No.
Project Name: Pine Lakes Apt
Setbacks Front Back: Right Side: Left Side: pg
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i dp+t d 5� F + � g3Df, r }fr 6
Replace exisiting a/c unit with a Goodman 2.5ton 14 Seer R410 new unit
Air handler model#AWUF310516 Conderser model# GSX140301
EXACT CHANGE OUT, LIKE FOR LIKE
rti nal wor to e e orme. under this permit-ch ec a appy:
HVAC 11 Gas Tank ❑Gas Piping _Shutters O Windows/Doors
11 Electric O Plumbing OSprinklers 0 Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 2,000.00 Utilities:11Sewer Septic Building Height:
7
LO"MME �--„ -21 i,y av &:
Name PL Borrower LLC�s Name: Oscar A Calzadille
Address: 880 Glenwood Ave SE, STE H Company: Unico Air Conditioning Company
City: Atlanta State: GA Address: 25 SW Cabana Point Circle
Zip Code: 30316 Fax: City: Stuart State:FL
Phone No. N/A Zip Code: 34994 Fax: 772-647-7525
E-Mail: N/A Phone No. 772-678-6676
Fill in fee simple Title Holder on next page(if different E-Mail: nikki@unieoservice.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.
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:
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 inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
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_Signature of O ner/Lessee/Agent Signature Contractor Lice older
STATE OF FLORIDA, ii STATE OF FLORIDA- - L�G'�
COUNTY OF M I A Mr "�d�t.. COUNTY OF M lm/
The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this d ay of J&wA 20 L.e— J
by this , Pay of 4"g_ ,20 4 by
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(Nao person acknowledging) (Name of person acknowledging)
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(Sign ture of NotaryuS to of Florida) (Signat re of Notary Pub a Stat f Florida)
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Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identifica R Type of Identification P "WART*ASM
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MY COMMISSI FF gqs955121 MY COMMISSION 11 FF 095121
Commission No. '�. IBES:M�°r Ir. Commission No. EXPIE� rkh9,2o18
4f Bonded Thru Notary Pubpc Undenwiters n �ontlad Thtu Notary Public UndenmAm
Revised 07/15/2014
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