HomeMy WebLinkAboutBuilding Permit ApplicationALL 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
PERMIT APPLICATION FOR: Mechanical
Address: 1582 SE TIFFANY CLUB PL
Legal Description:
Property Tax ID #: 3414-501-3503-000-5
Site Plan Name:
Project Name: RESERVE AT PORT ST LUKE APTS
Setbacks Front Back: Right Side:
Left Side:
x
Lot No.
Block No.
LIKE FOR LIKE A/C CHANGE OUT 2 TON
A/H MODEL # LSM24223ES002 14 SEER
CONDENSER MODEL # 14ACXS024 5 KW
t>ttsTR Ci C3 t fiat i # TION
Additional worK toDe nerTormed under this permit — CrieCK a appy:
❑✓_ HVAC Gas Tank ❑Gas Piph — _ Shutters ❑ Windows/Doors
❑ Electric Plumbing 05prinklers ❑ Generator ❑ Roof ❑ Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 2,200.00
SFt. of First Floor:
:
UtilitiesSewer ❑ Septic
Building Height:
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Name TIFFANY PARK PARTNERS LTD% WAYPOINT RESIDENTIALName:
Address: 3475 PIEDMONT RD NE STE 1640
OSCAR A CALZADILLA
Company: UNICO AIR CONDITIONING COMPANY
i
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: CAC1814920
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 be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consul er or an attorney before
commencingwork or recordingour Notice of Commencement.
GYGn4- T CaniclO(L2
DESIGNER/ENGINEER: x Not ApplicableMORTGAGE
Name: TIFFANY PARK PARTNERS LTD N. WAYPOINT RESIDENTIAL
COMPANY: _
Narne:OSCARACALZADILLA
Not Applicable
Ad d ress: 1582 SE TIFFANY CLUB PL
Address: 8475PIEDMONTRDNE STE1640
COUNTY OF MARTIN COUNTY
City: ATLANTA State:
Zip: Phone
City: STUART
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not
Name:
Applicable
Add re Ss: 25 SW CABANA POINT CIRCLE
Address:
Personally Known X OR Produced Identification
City:
City:
Type of Identification
Zip: Phone:
Zip: Phone:
(Signature of Notary Pu o orikjpii�TA61.AGN
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 inspection. If you intend to obtain financing, consul er or an attorney before
commencingwork or recordingour Notice of Commencement.
GYGn4- T CaniclO(L2
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signat a of Cont r ctor/L ens older
STATE OF FLORIDA
STATE OF
COUNTY OF MARTIN COUNI
COUNTY OF MARTIN COUNTY
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 05 day of JUNE 20_ by
this % day of JUNE , 20 by
OSCAR A CALZADILA
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 Notary Pu o orikjpii�TA61.AGN
(Signature of Notary Pu he State
;g!^:.!!Rp;:, i 1327
•: •: MY COMMiSSiON f,
i1^°p., MgRTAM.AGLI
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Commission No _ £ $:Mara"=•
-
Commission No. o YCOMMIS wl#FS )5327
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March S, �:u22
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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