HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR la'PLIC!'TION TO BE ACCEPTED
Date: 12/06/2017 Permit Number:
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 x
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 1bJ1 51= I IFF -ANY AVE
Legal Description:
Property Tax ID h: 3414_501-3503-000 5 __. ------_----__---- -_-- -- Lot Ne.
Site Plan Name: _---_-- Y— _ Block No. ----
Project Name: _ RESERVE AT PORT ST LUICE —
Setbacks Front------- Back: _ Right Side: _ — Left Side: --- — _ —
f
DETAILEDDESCRIPTIONOF WORK: i
LIKE FOR LIKE A/C CHANGE OUT 2 TON
A/H MODEL # 14ACXS024 14 SEER
CONDENSER MODEL # LSM24223ES0002 5 KW
CONSTRUCTION INFORMATION:_.-� — - -- —�-- — --�
Au fl onal work`to��-Nurrned- under tFiis pefrilt cTiec , a * r app-fy--- --_— _ __---
lr 1HVAC L _j Gas Tank []Gas Piping Shutters Windows/Doors�j �� ii r=i
U r_lectric L�1 Plumbing Sprinklers L Generator Roof C_f Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: 5 2,200.00
Sq. Ft. of First Floor: _
Utilities:Sewer Septic
Building Height:
OWNER/LESSEE: -----�_-------- ��
CONTRACTOR: V�
Name TIFFANY PARK PARTNERS LTD
i Name: OSCAR A CALZADILLA
Address: 3475 PIEDMONT RD NE STE 1640
- —
Company: UNICO AIR CONDITIONING COMPANY
City: ATLANTA State: GA
Zip Code: 30305 — Frax: —
Phone No. 772-245-4530
Address: 25 SW CABANA POINT CIRCLE �
City: STUART —_----- State: FL. —
Zip Code: 34997 Fax: 772-647-7544
Phone No. 305-528_1392
-- - ---�
E -Mail: prr,_apl@carrollmg.com —_
Fill in fee simple Title Holder on next page if different
from the Owner listed above)
-
E -Mail: marty@unicohvac.cam
State or County License: CAC1814920
I
u va+uc u+ wnau uuwn a ?cavu or mere, it MtL UKLJtU ivaiice OT Lo mnencernent is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name: TIFFANY PARK PARTNERS LTD
Address: 1631 SE TIFFANY AVE
City: A(LANTA
Zip: Phone
FEE SIMPLE TITLE SOLDER:
Name:
—
Add ress: 25 Sw CABANA POINT .';iRCL.E
City:
Zip: _ _ Phone: --
x _Not Applicable IMORTGAGE COMPANY: — Not Applicable
Name: OSCAR A CALZADILLA
State:
Not Applicable
Address: 3475 PIEDMONT RD NF STE 1640
City: STUAR-t
Zip: —__ __ Phone:_
BONDING COMPANY
Name:
Address: _ ^�
City:___-
-
Zip: _ Prone:
State:
Not Applicable
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 Commoncement must be recorded and posted on the jobsite
before the first inspection. IT you intend to obtain financing, consult with -tender or an attorney before
commencinrcrrre��rding your Notice of Commencement.
commencing --- - r --- - - -- --- r- - -- --------------
Signature of weer/ Lessee nntture ractor as Agent for Owner I Signatf Contract JLic nse older
STATE OF FLORIDA STATE OF Con
A
COUNTY OF MARTIN COUNTY COUNTY OF MARTINCOUNTY
The forgoing instrument was acknowledged before me
this 17_ day of JAN 20_ by
OSCAR A CALZADILLA
Name of person making statement
Personally Known _ x OR Produced Identification
Type of Identification
Produced. _.__ _______
(Signature of NotaSy P
Y. MARTA AG IRRE
Commission No. F1095121 :: MY COMMIS r'FF095121
j f —Z CAI -in— 2018
Bonded Thru Notary Public Underwriters
_r
REVIEWS FRONT I ZONING
COUNTER I REVIEW
RECEIVED
COMPLETED
Rev. 8/2/17
The forgoing instrument was acknowledged before me
this 17 day of JAN20___ by
OSCAR A CALZADILLA
Name of person making statement
Personally Known x, OR Produced Identification
Type of Identification
Produced
(Signature of Notary blit- State of Florida )
Commission NFzJ MARTA AGU{R�EQ'I'
MISSION # PP993f�1
EXPIRES: March 9, 2.018
Bcnded T hru Notary Pubic Underwnler-
SUPERVISOR PLANS I VEGETATION SEA TUR-rLE � MANGROVE
REVIEW I REVIEW I REVIEW REVIEW REVIEW