HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1210612017 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
PERMIT APPLICATION FOR: Mechanical
Ade4re«• 1603 SE 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:
Residential 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
Additional work toe performed un ert Ispermlt—c ec a appy:
Z✓ HVAC LJ Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers 1:1 Generator E] Roof Roof pitch
Total Sq. Ft of Construction: 5Ft. of First Floor:
Cost of Construction: $ 2,200.00 Utilities:T] Sewer D Septic Building Height:
If value of construction is $2500 or more, a RECORDED Notice of Commencemeni is required.
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: 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 Commencemeni 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 roams 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
_I- _ ....i:.... . ni-+;,e of r'nmmcnromont z,
LUIIII I ICI 1U1 VVUlntll ICVvi Yui Yui ,w..•..��•
&Kon+ TSignature
DESIGNER/ENGINEER: x Not Applicable
Name: TIFFANY PARK PARTNERS LTD% WAYPOINT RESIDENTIAL
MORTGAGE COMPANY: _
Name: OSCAR A CALZADILLA
Not Applicable
Address; 16035E TIFFANY CLUB PL
Address: W5PIEDMONTRDNE 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
Address: 25 SW CABANA POINT CIRCLE
Address:
Name of person making statement
City:
City:
Type of Identification
Zip: Phone:
Zip: Phone:
Produced
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 roams 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
_I- _ ....i:.... . ni-+;,e of r'nmmcnromont z,
LUIIII I ICI 1U1 VVUlntll ICVvi Yui Yui ,w..•..��•
&Kon+ TSignature
FSiggnaGeaContr/LicenseHolder
of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF MARTIN COUNTY
COUNTY OF MARTIN COUNTY
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 06 day of JUNE , 20_ by
this 06 day of JUNE , 20 by
OSCAR A CALZADILLA
OSCAR A CALZADI LLA
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 l tic , •I; qri a) WXTAM. AGUIRRE
(Si ature of Notary Pub' - tate f
=f'• •''"' MYCOMMISSION#C+S 791
27 •... ''IV....MARTAM.AGUIRRE
Commission No. - a Sea �XpIRES:March 9,20
:'
Co ission No = t MV CO8SjOf1#66191327
'Fadi; °..`•'� BondedTW Notary Public
:e •, EXPIRE�SSi March 9, 2W
�+•E.a goP: ..MW ThN olani PuW Uildenirners
REVIEWS
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VEGETATION
SEA TURTLE
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COUNTER
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DATE
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DATE
COMPLETED
Rev. 8/2/17