HomeMy WebLinkAboutPermit Application 1595ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/06/2017 Permit Number:
i WIN
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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) 462-1SS3 Fax: (772) 462-1578 Commercial
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 1595 TIFFANY CLUB PL
Legal Description:
Property Tax ID #: 3414-501-3503-000-5
Site Plan Name:
Project Name: RESERVE AT PORT ST LUICE APTS
Setbacks Front Back: Right Side:
DETAILED DESCRIPTION OF WORK:
Left Side:
Residential x
Lot No.
Block No.
LIKE FOR LIKE A/C CHANGE OUT 2 TON
A/H MODEL # LSM24222ES002 14 SEER
CONDENSER MODEL # 14ACXS024 5 KW
CONSTRUCTION INFORMATION:
Additional work to be performedunder tispermit—check all appy:
Z✓ HVAC Gas Tank I]Gas Piping _ Shutters L]Windows/Doors
11 Electric Plumbing Sprinklers Generator EIRoof = Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 2.200.00
SFt. of First Floor: _
Utilities: Sewer Septic
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:GA
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
Phone No. 305-528-1392
E -Mail: manager@reservearportstlucie.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: marty@unicohvac.com
State or County License: CA01814920
If value of construction is $2500 or more, a RECORDED Notice of commencement is requlrea.
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 orded and posted on the jobsite
before the first in . If you intend to obtain financing, con t with lender or an attorney before
rnmmencine w or reso ine vour Notice of Commencemen . ,x-`�_`\
Signature of ner/ Less / tractor as Agent for Owner
Signatu a of Contr or License Holder
STATE OF r
DESIGNER/ENGINEER: X Not Applicable
Name: TIFFANY PARK PARTNERS LTD%WAYPOINTRESIDENTIAL
MORTGAGE COMPANY: _
Name: OSCAR A CALZADILLA
Not Applicable
Address 1595 TIFFANY CLUB PL
Address: 3475 PIEDMONT RD NE STE 1640
this 17 day of MAY 20_ by
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:
Type of Identification
City:
City:
(Signature of Nota P bl -
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 orded and posted on the jobsite
before the first in . If you intend to obtain financing, con t with lender or an attorney before
rnmmencine w or reso ine vour Notice of Commencemen . ,x-`�_`\
Signature of ner/ Less / tractor as Agent for Owner
Signatu a of Contr or License Holder
STATE OF r
STATE OF A
COUNTY OF MARTINCOUNTY
COUNTYOF 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��/�yl��!p
(Signature of Nota P bl -
Signature of Notary Pu lic State of Florida
MARTA M. AGUIRR1
Mi
Commission No. FF 096121 f'g" MKWMVISSION#GG 791327
ommissian No. F Yt`s"I MARTA MNRE
EXPIRES: March 9,=022
_ COMMISSI 2791327
Boadeo Thlu tMtary PuNk Underwd
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- pa-` EXPIRES: Match 9. �u22
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iC�' Beaded Tlw Notary Pubric Undeiwrikra
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17