HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/06/2017 Permit Number:
•J'l 11
Quaft-
Emenmow 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
�
I PROPOSED IMPROVEMENT i.00ATiOf`J:_!
Address: 1583 SE TIFFANY AVE
Legal Description:
Property Tax ID #: 3414-501-3503-000-5
Site Plan Name:
Lot No.—
Block No.
Project Name: RESERVE AT PORT ST LUICE—__—
Setbacks Front------.- Back:Right `.fide: _ Left Side: w
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE A/C CHANGE OUT 2 TON
A/H MODEL # 14ACXS024 14 SEER
CONDENSER MODEL # LSM24223ES0002 S KVV
CONSTRUCTION INFORMATION:
-AUditional work to b rf"oHr `&T under this permit = i c�a?t apply —�
HVAC I I i
(�j L..� Gas -rank Das Pining E]Shutters ��j Windows/Doors
L�i Electric Plumbing Sprinklers 11 Generator J Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 2.200.00
Sq. of First Floor: _
Utilities: L J Sewer []Septic Building; Height:
OWNER/LESSEE:
Name TIFFANY PARK PARTNERS LTD
Address: 347.5 PIEDMONT RD NE STE 1640 ~
City: ATLANTA _ State: GA
Zip Code: 30305
Phone No. 772-245-4530
E -Mail: prn.apl@carrolimg.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: OSCAR A CALZADILLA
Company: UNICO AIR CONDITIONING COMPANY
Address: 25 SW CABANA POINT CIRCLE
City: STUART State: FL
Zip Cade: 34997 _M Fax: 772-647-7544
Phone No. 305-528-1392
E -Mail: marty@unicohvac.com
State or County License: CAC1814920
IT vawe or construction is >Lsuu or rnore, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: -------------- -- --
DESit NER/ENGINFtR: --- n, No* Applicable`I MORTGAGE COMPANY:— , Not Applicable
Name: TIFFANY PARK PARTNERS LTD � N am e: OSCAR A CALZADILLA
Address: 1583 SE TIFFANY AVE Address: 5475 r>IEDMONT RD NE STE 1640
City: ATLANTA State: City: STUART
Zip: _r Phone Zip: M Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:—
Address: 25 SW CAEANA POiNT CIRCLE
Zip: Phone:
State:
BONDING COMPANY: Not Applicable
NaInn e:
Address:
City:.—....____._.�.,....
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 Horne 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 you property. A Notice of Commencement rust be recorded and posted on the jobsite
before the first i ectio u intend to obtain financing, consult 4 L der or, an attorney before
commeneinS_w rk ecor -V tr Notice of Commencement.
Signature of Owne a5 Agent for Owner
STATE OF FLORIDA
COUNTY OF -MARTIN COUNTY
The forgoing instrument was acknowledged before me
this 17 day of JAN —�e 20 by
OSCAR A CALZADILLA
Name of person making statement
Personally Known _ x _ OR Produced Identification
Type of Identification
Produced_
Sig.naturelsf Controc,,Or/Ly,.nse Holder
STATE OF FLORID,�J
COUNTY OF MAR"fine COUNTY
The forgoing instrument was acknowledged 'before me
this 1' day of SAN 20 by
OSCAR A CALZADILLA
Name of person making statement
Personally Known __ x _- OR Produced Identification
Type of Identification
Produced
Wog
(Signature of Nof4 Public- State of Florida )� � (Signature ofNotary P ic- State of Florida )
Commission No. FF 005121 (Sea!)
REVIEWS I FRONT ZONING
COUNTER [REVIEW
RECEIVED
COMPLETED
Rev. 8/2/].7
Commission No. FF 095121 — (Seal)
SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW � REVIEW � REVIEW I REVIEW