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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 12/06/2017 .COUNTY �"` A - 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 PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROVEMENT LOCATION:� Address: 1624 SE TIFFANY AVE Legal Description: Property Tax 1D#: 3414-501-3503-000-5 Site Plan Name: Project Name: RESERVE AT PORT ST LUICE Setbacks Front Bark: DETAILED DESCRIPTION OF WORK: Commercial _ _ Residential x Right Side: Left Side: LIKE FOR LIKE A/C CHANGE OUT 2 TON A/H MODEL # 14ACXS024 14 SEER CONDENSER MODEL # LSM24223ES0002 5 KW Lot No._ Block No. CONSTRUCTION INFORMATION: rtiona worT<to�Ee�� erforTne un�t�iis �;err7it-ciiec-k GfI app --Tye I MVAC Gas Tank 17Gas Piping Shutters Windows/Doors 11Electric Plumbing Ln kl Spriners Generator �--..J � f—J Roof Roof pitch Total Sq. Ft of Construction: Cost of Construction: $ 2,200.00 OWNER; LESSEE: Name TIFFANY PARK PARTNERS LTD Address: 3475 PIEDMONT RD NE STE 1640 Sq. Ft. of FirstFloor:Floor: Utilities: L , Sewer L _J Septic City: ATLANTA _--V State: GA Zip Code: 30305 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) CONTRACTOR: Building Height: Name: OSCAR A CALZADILLA 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 A E -Mail: marty@unicohvac.com State or County License: CAC1814920 A If value of construction is $2540 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION: DESIGNER/ENGINEER: x— Not ApplicabieMORTC;AGE COMPANY: Name: TIFFANY PARK PARTNERS LTD —_ Not Applicable Name: OSCAR ACALZAOILLA Address: 1624 SE TIFFANY AVE— _ Address: 3475 PIEDMONT RD NE STE 1640 City; ArLANTA State: Cit STUART Y� Zip: Phone _State: Zip: Phone: --�_ FEE SIMPLE TITLE HOLDER: _ _Not Applicable Name.: BONDING COMPANY: Not Applicable ­SW Name: Add ress:25CABANA POINT CIRCLE —� Address: Zip: - — _—_ Phone:- - - —. I 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 concurrenry review: room additions, accessory structures, swimming pools, fences, walls, Signe, 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 i11specti . you intend to obtain financing, consult with lender or an attorney before commencingwork e ur Notice of Commencement. i Signature of Owner/ L Con oto as Agent for Owner i Signature or itrartor ettpider �— STATE OF FLORIDA COUNTY OF MAR TIN CUU NTY The forgoing instrument was acknowledged before me this ''- _day of JAN 20_ by OSCAR A CALZADILLA STATE OF FLORID COUNTY OF MARTIN The forgoing instrument was acknowledged before me this 17v day of •!Ah J 20_— by OSCAR A CAL.?ADILIA Name of person making statement T l Name of person making statement Personally Known x OR Produced IdentificationI Personally Known X OR Produced Identification Type of Identification �~I Type of Identification Produced------------- I Produced {Signature of Notar . PU ;Tic Sta�of F_WA U!RRc It`; (Signature of Notary Pini State of Florida ) MY COr�AM4SSlOtd � Fr 09121 j MARTA AG�J ' j Commission No. FF tet EXP±Rc��j� F 09512 i 11 yy�, �dzrHraers Commission No. N496121 o? Bandea'IhruN�'ntaryF(ihlwt' -_lpi• I - OMMISS10 -- s;,_ ;, ;;_:• : EXPIRES: March 9 2018 Bonded Thru No,ary Pubfc Unde v rilars REVIEWS FRONT ZONING SUPERVISOR I PLANS I VEGETATION I SEA TURTLE MANGROVE F7 COUNTER REVIEW REVIEW REVIEW I REVIEW I REVIEW I REVIEW IDATE -------.-_`I —t -- RECEIVED DATE --�. -- ---�-- - ----- — - ---------� COMPLETED Rev. $/2/17 —J