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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