HomeMy WebLinkAboutPermit Application 1564ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
CONTRACTOR:
Date: 1210612017 Permit Number:
Name: OSCAR A CALZADILLA
Address: 3475 PIEDMONT RD NE STE 1640
Company: UNICO AIR CONDITIONING COMPANY
•
Address: 25 SW CABANA POINT CIRCLE
Building Permit Application
E -Mail: manager@reservearportstiucie.com
Planning and Development Services
E -Mail: marty@unicohvac.com
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- 1564 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 A/C CHANGE OUT 2 TON
A/H MODEL # LSM24223ES002 14 SEER
CONDENSER MODEL # 14ACXS024 5 KW
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit –check all appy:
❑✓— HVAC Gas Tank ❑Gas Piping Shutters
Q Windows/Doors
11 Electric Plumbing Sprinklers Generator
0 Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 2,200.00 Utilities:Sewer ESeptic
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@reservearportstiucie.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: CAG1614920
11 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. 11
sPrTiiw t�r�t .
-,,
MY COMMISSION# -. - ,;e M COM ISSION$�•>'.9132r
DESIGNER/ENGINEER: x Not Applicable
Name: TIFFANY PARK PARTNERS LTD %WAYPOINT RESIDENTIAL
MORTGAGE COMPANY:
Name: OSCARACALZADILLA
Not Applicable
AddreSS:t564TIFFANYCLUBPL
Address: 34]SPIEDMONTRDNE STE1640
SUPERVISOR
City. ATLANTA State:
Zip: PhonePhone:
City: STDART
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not
Name:
Applicable
Address: 26 SW CABANA POINT CIRCLE
Address:
REVIEW
City:
City:
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 Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in con lict 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 inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing workof ecordina your Notice of Commencement.
Signature of O �o ractor as Agent for owner
STATE OF FLORIDA
COUNTY OF MARTIN COUNTY
The forgoing instrument was acknowledged before me
this 17 day of MAY 20_ by
OSCAR A CALZADILLA
Name of person making statement
Personally Known x OR Produced Identification
Type of Identification
Produced
(Signature of Nota blit- State of Florida }
Signature clContractorj 'ce a Holder
STATE OF FL
COUNTY OF MARTIN COUNTY
The forgoing instrument was acknowledged before me
this 17 day of MAY 20_ by
OSCAR A CALZADILLA
Name of person making statement
Personally Known X OR Produced Identification
Type of Identification
of Notary Public] State of Florida )
Commission No. FF 095121 t) MARTA M.AGU s ss nNo. FF 095121 ;:.�Y""k�;, (SPd/iiTA M. AGUIRRE
-,,
MY COMMISSION# -. - ,;e M COM ISSION$�•>'.9132r
=-= EXPIRES: March , 2J22 '- EXPIRES: March 6, 1J22
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17