HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/06/2017 Permit Number:
CONSTRUCTION INFORMATION:
((��itional work t0 De er orme�3c-`urrder t?ii� perrnif-the
Ly�JHVAC ] Gas Tank Gas Piping
L _! Electric F]Plumbing Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 2,200.00
ail M."!
appiy:
Shutters D� Windows/Doors
1 Generator L=! Roof Roof pitch
Sq. Ft. of FirstFloor:
Utilities: I I Sewer'Septic Building Height:
OWNER/LESSEE:
Name TIFFANY" PARK PARTNERS LTD
Address: 3475 PIEDMONT RD NE STE 1640 —
City: ATLANTA — ^ — State: GA
Zip Code: 30305 Fax:
Phone No. 772-245-4530
E -Mail: pn-.apl@carrollmg.com
Fill in fee simple Title !-colder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: OSCAR A CALuADILLA M—~ -
Com an UNICO AIR CONDITiONING COMPANY
Address: 25 SW CABANA POINT CIRCLE
City: STUART _- -State: FL
Zip Code: 34997 -y Fax: 772-647-7544
Phone No. 305-528-1392
E -Mail: marty@uriicohvac.com
State or County License: CAC1814920
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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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: 1636 SE TIFFANY AVE
Legal Description:
Property Tax ID #: 3414501-3503-000-5 _Y -__ -�-- -_-_ ^- -_--
Lot No. _
Site Plan Name:
Block No.
Project Name: AT PORT ST LUICE�—
_RESERVE:
Setbacks Front----.---. Back: . Right Side: Left Side: —
� DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE A/C CHANGE OUT 2 TON
A/H MODEL # 14ACXS024 14 SEER
CONDENSER MODEL # LSM24223ES0002 5 KW
CONSTRUCTION INFORMATION:
((��itional work t0 De er orme�3c-`urrder t?ii� perrnif-the
Ly�JHVAC ] Gas Tank Gas Piping
L _! Electric F]Plumbing Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 2,200.00
ail M."!
appiy:
Shutters D� Windows/Doors
1 Generator L=! Roof Roof pitch
Sq. Ft. of FirstFloor:
Utilities: I I Sewer'Septic Building Height:
OWNER/LESSEE:
Name TIFFANY" PARK PARTNERS LTD
Address: 3475 PIEDMONT RD NE STE 1640 —
City: ATLANTA — ^ — State: GA
Zip Code: 30305 Fax:
Phone No. 772-245-4530
E -Mail: pn-.apl@carrollmg.com
Fill in fee simple Title !-colder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: OSCAR A CALuADILLA M—~ -
Com an UNICO AIR CONDITiONING COMPANY
Address: 25 SW CABANA POINT CIRCLE
City: STUART _- -State: FL
Zip Code: 34997 -y Fax: 772-647-7544
Phone No. 305-528-1392
E -Mail: marty@uriicohvac.com
State or County License: CAC1814920
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION:
DESIGNER/ENGINEER: x
I Name: TIFFANY PARK PAR TNERS LTD
Not Applicable
MORTGAGE COMPANY: _
N a me: OSCAR A CALZADILLA
Not Applicable
I
Address: 1635 SE TIFFANY AVE
_
Address: 3475 PIEDMONT P.D NE STE 1640
City: ATLANTA
Zip _ ` Phone
State:
City: STUART
Zip: _ Phone:
State:
� FEE SIMPLE TITLE HOLDER
Name:
Not Applicable
MN
BONDING COMPANY: _�
Name:_
Not Applicable
Address: 25 SW CABANA POINT CIRCLE
Address:
_
City:_
City:_
Zip: Phone:
Zip: Phone:
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 Commencement must be recorded and posted on the jobsite
before the first insp . n. If yep,! intend to obtain financing, consul itder or an attorney before
commencing workor r 157 0g your Notice of Commencement.
Signature of mer/ Lessee/c , ra 'or as Agent for Owner
STATE OF FLORID
COUNTY OF MARTIN COUNTY
The forgoing instrument was acknowledged before me
this 17 day of JAN — 1 20_^ by
OSCAR A CALZADILLA
Name of person making statement M
Personally Known x OR Produced Identification
Type of Identification
Produced--------
(Signature
roduced_-_ __
(Signature of Notar )blit- St ......��
wY'P�a -, ZAGUIRRE ;t
Commission No. FF0951 °'' MYC 10N FF 09!,19'
1'` = EXPIRES: Mar;;: a 2n1y
Bcndo Thr, WaM O �t:c:rre
REVIEWS I FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
I COMPLETED
Rev. 8/2/17
Signature oi"�- License 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 _ OR Produced Identification
Type of Identification
Produced
_Qh4a6� �_
(Signature of Notary lic- State of Florida )
Commission N F,Fdd kj1 MARTAAOUiCS@al
MY C,6MMISSIGN 4 rF 095f21
EXPIRES: Marrh ° 2018
I r-
N, Bended Thr Notary F� . Jc-ur.•.(!pr;
SUPERVISOR j PLANS I VEGETATION I SEA TURTLE ' MANGROVE
REVIEW I REVIEW REVIEW REVIEW REVIEW