HomeMy WebLinkAboutPermit Application 1513ALL 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 FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 1513 TIFFANY CLUB PL
Legal Description:
Property Tax ID #: 3414-501-3503-000-5 Lot No.
Site Plan Name: Block No.
Project Name: RESERVE AT PORT ST LUICE APTS
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE AIC CHANGE OUT 2 TON
A/H MODEL # LSM24223ES002 14 SEER
CONDENSER MODEL # 14ACXS024 5 KW
CONSTRUCTION INFORMATION:
trona wor to e e orme un ert Ispermlt—c ec a appy:
✓HVAC �GasTank nGasPiping_Shutters Windows/Doors
11 Electric Plumbing Sprinklers 7 Generator E]Roof Roof pitch
Total Sq. Ft of Construction: 5Ft. of First Floor:
Cost of Construction: $ 2,200.00 Utilities:cn Sewer Oseptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name TIFFANY PARK PARTNERS LTD % WAYPOINT RESIDENTIAL
Name: OSCAR A CALZADILLA
Address: 3475 PIEDMONT RD NE STE 1640
Company: UNICO AIR CONDITIONING COMPANY
City: ATLANTA State:G'A
Zip Code: 30305 Fax:
Phone No. 772-242-9612
Address: 25 SW CABANA POINT CIRCLE
City: STUART State; FL
Zip Code: 34997 Fax: 772'647-7544
E-Mail: manager@reservearportstlucie.com
Phone No. 305-528-1392
Fill in fee simple Title Holder on next page ( if different
E-Mail: marty@unicohvac.com
State or County License: CACIS14920
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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 belerorded and posted on the jobsite
before the first insp_ecton. If you intend to obtain financing, consult Ith lender or an attorney before
commencine worVor vour Notice of Commencement. z �
Signature of Ow r/ Lessee/C
n
ctor as Agent for Owner
( C*4
Signature f Contract r/L ce a Holder
DESIGNER/ENGINEER: x Not Applicable
Name: TIFFANY PARK PARTNERS LTD% WAYPOINT RESIDENTIAL
MORTGAGE COMPANY:
Name: OSCAR A CALZADILLA
Not Applicable
Address: 1513 TIFFANY CLUB PL
Address: 3475PIEDMONTRDNE STE1640
COUNTY OF MARTINCOUNTY
City: ATLANTA State:
Zip: Phone
City: STUART
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not
Name:
Applicable
Address: 25 SW CABANA POINT CIRCLE
Address:
Name of person making statement
City:
City:
Personally Known x OR Produced Identification
Zip: Phone:
Zip: Phone:
Type of Identification
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 belerorded and posted on the jobsite
before the first insp_ecton. If you intend to obtain financing, consult Ith lender or an attorney before
commencine worVor vour Notice of Commencement. z �
Signature of Ow r/ Lessee/C
n
ctor as Agent for Owner
( C*4
Signature f Contract r/L ce a Holder
STATE OF FLORIDA
STATE OF
COUNTYOF MARTINCOUNTY
COUNTY OF MARTINCOUNTY
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 17 day of MAY
20_ by
this 17 day of MAY 20_ by
OSCAR A CALZADILLA
OSCAR A CALZADILLA
Name of person making statement
Name of person making statement
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notarylic-
MARTAM.AGUIRRE
'
i ature of No]UP,r
OMMISSIGNR(:1;19127 AM.AGUIRRE
Commission No. FF 095121 -
( PIRESI M3lCh 5,'t022
Co mission No. ''t 191327
o.r W6,klMder
Notary '
'letsS: March 9, 4622;:BoededTlvu
��J��dmy Public Urde.Flb,
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17