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HomeMy WebLinkAboutRevision for Permit 1801-038301242018OFFICE USE ONLY: DATE FILED: REVISION FEE: PERMIT # RECEIPT # PLANNING & DEVELOPMENT SERVICES BUILDING & CODE REGULATION DIVISION 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 (772) 462-1553 APPLICATION FOR BUILDING PERMIT REVISIONS PROJECT INFORMATION LOCATION/SITE ADDRESS: ' cc -a) Ti .�`c1 n club M DETAILED DESCRIPTION OF PROJECT R ^ISIS Nnese _S u _ be I 38 T1 �>,-- C1u b �L CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: C le t4g20ST. LUCIE CO CERT. #: BUSINESS NAME: On ico !r I 6n I no 4 for- j nY QUALIFIERS NAME: /��% Y A . _ Izz2&i ADDRESS: 2 t r14- c i r CITY: S ru 4a r4- _ STATE: Z1P: � PHONE (DAYTIME):- 52$' /3Q2 FAX: OWNER/BUILDER INFORMATION: NAME: _TI rreiny I:b 1'k ADDRESS: 3 q75 P1 ed M611 CITY: PHONE (DAYTIME: pc) r4we- r6 LTD 'I• IA -Rcl /`IE S1'lG 11040 _ STATE: &A ZIP: FAX: ARCHITECT/F.NGINEER INFORMATION: NAME: _ ADDRESS: _ CITY: PHONE (DAYTIME): SLCCC: 9/23/09 Revised 06130/17 STATE: ZIP: FAX: n +- vcs id - �Zev�sion -Fpr GddresS. ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �G( Date: 12/06/2017 Permit Number: er 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: 1638 TIFFANY CLUB PL. Legal Description: Property Tax ID #: 3414-501-3503-000-5 Site Plan Name: Project Name: RESERVE AT PORT ST LUICIEAPTS Setbacks Front - Back: bight Side DETAILED DESCRIPTION OF WORK. LIKE FOR LIKE A/C CHANGE OUT 2 TON A/H MODEL # LSM24223ES002 14 SEER CONDENSER MODEL # 14ACXS024 5 KVV Left Side: CONSTRUCTION INFORMATION: -A-dnjtionaf work o b----,rforme�c V unser tFis perriiit -eck a Sapp y: HVAC Gas Tank Gas Piping !!!I---���I Shutters LJ Electric Plumbing Sprinklers Generator Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction: '$2,200.00 — Utilities:] Sewer D Septic Lot No. M Block No. Windows/Doors Roof Roof pitch Building Height: �OWN ER/LESSEE:---- �------rCf3iiTRACTOR: Name TIFFANY PARK PARTNERS % 11VAYPOINT RESIDENTiAL Name: OSCAR A CALZADILLA Address: 3475 PIEDMONT RD NE STE 1640 Company: UNICO AIR CONDITIONING COMPANY City: ATLANTA _ State: GA Zip Code: 3030' -y Fax: _ Phone No. 772-242-9612 Address: 25 SW CABANA POINT CIRCLE -� City: STUART State: FL I Zip Code: 34997 Fax: 772-647-7544 Phone No. 305-528-1392 -_- E -Mail: manager@reservearportstlucie.com _ �Y., Fill in fee simple Title bolder on next page ( if different from the Owner listed above) marl r�unicohvac.com � E -Mail: yC State or County License: CAC1814920 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. FSU-PP LEtO E-N-TAL COIVSTRU-CTIOf L-IEtV LAW €NFORMATIQN - ------ DESIGNER/ENGINEER: X Not Applicable ----- MORTGAGE COMPANY: Not Applicable Name: IIFFANYPARK PARTNERS 1'WAYPOiNTRESIDENTIAL _ — (Mame: OSCAR A CALZADILLA Address: 1638 TIFFANY CLUB PL _ Address: 3475 PIEDMONT RD NE STE 1640 City: ATLANTA State: City: STUART State: Zip: Phone- Zip: Phone:_ _— _— _ FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable _ Name:_ Name: — Address:25 SW CABANA POINT CIRCLE — — -- Address: — _-- City: City. _ Zip: ^ Phone: Zip: Phone: --_ OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a penr,it 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 Arnendrrients. 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 corded and posted on the jobsite before the first inspection. If you intend to obtain financing, consu ith lender or an attorney before commencing work or our Notice of Commencement. _ Signature of Owner/ L :- ac or as Agent for Owner Signatur of Contract /Lic ,se Hoider STATE OF FLORIDA STATE OF FLORIDA COUNTY OF MARTIN COUNTY --^ —_ COUNTY OF MARTIN COUNTY ---- I The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 24 -day of DEC ^� , 20___ by this 24 _day of DEC 20" by i OSCAR A CALZADILLA OSCAR A CALZADILLA I Name of person making statement Name of person making statement Personally Known X OR Produced Identification Personally Known Y OR Produced Identification i _ �— — Type of identification Type of Identification Produced Produced U86AtZ� -- -- wbog��--- ,Signature of Not ublic we:of.Fl©rida.).,... � ignature of Notar ubli State of No, ) i `SANTA AuulhkE Commission No. FF095121 t ($Aalr!.AMISSION # FF 095121 mmission No. FF005121 MARTA AGUI t � EXPIRES: March 9, 2018 — -----MTrOMMISSION Bonded Thru Notary Public Underwrite EXPIRES: March 9, 2013 ,dedThruNotary Public UnkfW'iters -- REVIEWS FRONT ZONING SUPERVISOR I PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW -- --- ' DATE —}---�._--,-------- ---- ------ -- -- ----� RECEIVED � -------- - - -- - ---- -- -DATE COM_PLETED�—.----� ---- - --- ----- Rev. 8/2/17