HomeMy WebLinkAboutPermit Application 1554ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12106/2017 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: 1554 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:
Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: ISI
LIKE FOR LIKE A/C CHANGE OUT 2 TON
A/H MODEL # LSM24223ES002 14 SEER
CONDENSER MODEL # 14ACXS024 5 KW
CONSTRUCTION INFORMATION:
AdditionalworKtOnenerTormedunder this permit -cheek all that appy:
Z✓ HVAC 1:1 Gas Tank ❑Gas Piping 1:1_ Shutters ❑ Windows/Doors
11 Electric Plumbing ❑Sprinklers ❑Generator Roof ❑ Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 2,200.00
Sq FtFt. of First Floor: _
Utilities: LJSewer []Se—
ptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name TIFFANY PARK PARTNERS LTD% WAYPOINT RESIDENTIAL
Address: 3475 PIEDMONT RD NE STE 1640
Name: OSCAR A CALZADILLA
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: 34897 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: GAG1814920
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
#*' c # 4 Uti lit
(# A+f k tt
DESIGNER/ENGINEER: x Not Applicable
Name: TIFFANY PARK PARTNERS LTD% WAYPOINT RESIDENTIAL
MORTGAGE COMPANY: _
N a m e: OSCAR A CALZADILLA
Not Applicable
Address: 1554 TIFFANY CLUB PL
Address: 3475 PIEDMONT RD NE STE1640
City: STUART
Zip: Phone:
State:
City: ATLANTA State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not
Name:
Applicable
Add ress: 25 SW CABANA POINT CIRCLE
Address:
this 17 day of MAY
City:
City:
OSCAR A CALZADILLA
Zip: Phone:
Zip: Phone:
Name of person making
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 be recorded and posted on the jobsite
before the first inspe�-cction. If you intend to obtain financing, consult with lender or an attorney before
commencinE worj of-remr4nE vour Notice of Commencement. ,G'�
Rev. 8/2/17
Signature of Ow er Lessee/ a or Agent for Owner
Signatur of Contra or/Li
se Holder
STATE OF RI
FLO/
STATE OF FLORIDA
COUNTY OF MARTINCOUNTY
COUNTY OF MARTINCOIMTY
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
U
(Signature of Notarylic- State of Florida)
(Signature of Notary Pu Ii
State of Florida )
•" (( M.AGUIRRE
€ MYC�SION NC, 313,-
Commission N ;,y, . .A AM. E
Commission No. FF 095121
F' ''" tty COMMISSIONkG• 191327
.=
EXPIRES: March 9,'022
,7s EXPIRES: March S, 5u2Y
'-;eosv�3:'
-
lhbeM,raors
Bonded Tlvo Notary Public Unp.'etwrilere
DFP„
REVIEWS T
ZONING SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17