HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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MEMO
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: 7425 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:
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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
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itiona I work toe nprtormed under t is permit—check a appy:
HVAC 0 Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
11 Electric El Plumbing O Sprinklers E]Generator 0 Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 2,000.00 Utilities: (1 Sewer Septic Building Height:
Name PL Borrower LLC 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. NSA Zip Code: 34994 Fax: 772-647-7525
E-Mail: NIA Phone No. 772-678-6676
Fill in fee simple Title Holder on next page(if different E-Mail: nikki@unicoservice.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.
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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 1 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 Owner/Lessee/Agent Signature of OnFr—actor/OcenseeWer
STATE OF FLORIDA AMS STATE OF FLORID�4, QMH "I(e—
COUNTY OF COUNTY OF
The forgoing instrument was acknowledge
si before me The forgoing instrume tp was acknowledged before me
this2�Aday of Ju-" 20''//�by this Oklay of _�� ,20 by
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(Name of Oerson acknowledging) (Name of person acknowledging)
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(Signature df Notary Public-State of Flori ) (Signatur6 of Notary Public-State ef Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS