HomeMy WebLinkAboutApplication 156901172018ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION 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 >=oR:--_-�------------------- - --- --,
— Mechanica,
I PROPOSED IMPROVEMENT
Address: 1569 SE TIFFANY AVE _
Legal Description:
Property Tax !D#: 3414-501-3503-000-5 Lot No.
Site Plan Name: Block No.
Project Name: RESERVE .AT PORT ST LUICE
Setbacks Front----- Back— ^— Right Side: — Left Side:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE A/C CHANG% OUT 2 TON
A/H MODEL # 14A.CXS024 14 SEER
CONDENSER MODEL # LSM24223ES0002 .5 KW
a t nvt-r lull IIVrUKIVIA I IUN:
oitrona wor to e e-- o niecf u �u�e`r`t. rTi'; erre it=cecT a,T- `app y"
®HVAC Gas Tank ❑Gas Piping 11 Shutters Windows/Doors
Electric ❑ Plumbing Sprinklers El Generator Roof = Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 2,200.00
OWNER/LESSEE:
Sq. Ft. of First Floor: _—
Utilities: I Sewer Septic Building Height:
Name_I IH -ANY PARK PARTNERS LTD
Address: 3475 PIEDMONT RD NE STE 1640
City: ATLANTA Staie: GA
Zip Code: 30305 Fax:_
Phone No. 772-245-4530
E -Mail: pm.apl@carrollmg.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: k-RiUAR A UALZADILLA
Company: UNICO AIR CONDITIONING COMPANY
Address: 25 SW CABANA POINT CIRCLE �^
City: STUART State: FL
Zip Code: 34997 Fax: 772-647-7544
Phone No. 305-528-1392
E -Mail: marty@unicohvac.com
State or County License: CAC1814920
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. —`
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name: TIFFANY PARK PARTNERS LTD
Address: 1569 SE TIFFANY AVE
City: ATLANTA
ZIP: _ Phone
x _ Not Applicable
State
MORTGAGE COMPANY: — Not Applicable
Name: OSCAR A CALZADILLA
Address: 3475 PIEDMONT RD NE STE 1640
City: STUART
Zip: —__ Phone:
State:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: _ Not Applicable
Name: I
Add,C°ss: 25 SW CABANA POINT CIRCLE _ Address:
City:-- —------- -- — City: --
Zip: Phone: Zip: Pho-
ne:
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 a!! 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: roorr, 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 pasted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencin&wor i - your Notice of Commencement.
---
Signature of Ow r Lessee/ �i actor as Agent for Owner
STATE OF FLORIDA
COUNTY OF MARTIN COUNTY
The forgoing instrument was acknowledged before me
this 17 day of SAN —_ 20-- by
OSCAR A CALZADILLA
Name of person making statement
Personally Known x - OR Produced Identification
Type of Identification
Produced
(Signature of Nota'"
T ---
Commission No.t ? c
MY COMkP,SSIGN if FF 095121
--EXPIRES{FRO 9, 2018
Banded Thru Notary Public Underwrlterc
Signature r `Contractor nse Holder
STATE OF FLORIDA
COUNTY OF MARTIN COUNTY
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 Notary Pub 'c- 'tate of Florida)
Cornmission No. :-- MARTA j -
.' - ¢-- My COMMiSS1C71tl 95121
EXPIRES: March 9, 2018
op F °o Bcnded Thru Notary Public Underwriters
REVIEWS FRONT I ZONING SUPERVISOR I PLIEW REVIEW ANS VEGETATION I SEA TURTLE MANGROVE
_ COUNTER I REVIEW REVIEW REVREVIEW I REVIEW
DATE I —�
RECEIVED
DATE—
_COMPLETED
Rev.8/2/17 ------ —_.1— ----1------