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
PERMIT APPLICATION FOR: Mechanical
Address: 1767 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:
LIKE FOR LIKE A/C CHANGE OUT
A/H MODEL # LSM24222ES002
CONDENSER MODEL # 14ACXS024
❑✓_
HVAC
Name TIFFANY PARK PARTNERS LTD% WAYPOINT RESIDENTIAL
Address: 3475 PIEDMONT RD NE STE 1640
Gas Tank
11
Electric
Plumbing
Total Sq. Ft of Construction:
Cost of Construction:
$ 2,200.00
2 TON
14 SEER
5 KW
JCI I I." - VI
Sas Piping
Sprinklers
Residential x
Lot No.
Block No.
Left Side:
Shutters F—] Windows/Doors
Generator D Roof = Roof pitch
SFt. of First Floor:
Utilities:Sewer Septic
Building Height:
If value of construction is $2500 or more, a RECORDED Notice of Commencement 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@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: CAC1614920
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SAlr&TAi4l3Tt EAW
kNf3AAAi4#i
Signature of Owner/ Lessee/Contractor as Agent for Owner
nature of or/License Holder
DESIGNER/ENGINEER: X Not Applicable
Name: TIFFANY PARK PARTNERS LTD% WAYPOINT RESIDENTIAL
STATE F F RIDA
MORTGAGE COMPANY: _
Name: OSCAR A CALZADILLA
Not Applicable
Address: 1757 SE TIFFANY CLUB PL
The forgoing instrument was acknowledged before me
Address: 3475 PIEDMONT RD NE STE 1640
this 06 day of auNE 20_ by
City: ATLANTA State:
Zip: Phone
OSCAR A CALZADILLA
City: STUART
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Personally Known x OR Produced Identification
BONDING COMPANY: _Not
Name:
Applicable
Address: 25 SW CABANA POINT CIRCLE
Produced
Address:
City:
( g nature of
City:
Zip: Phone:
Commission N
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 thepermit 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, ith lender or an attorney before
commencinP work or recording your Notice of Commencea're
Gra n+ T Co rdorw_
Signature of Owner/ Lessee/Contractor as Agent for Owner
nature of or/License Holder
STATE OF FLORIDA
STATE F F RIDA
COUNTY OF MARTIN GOUNT
COUNTY OF MARTINGOUNT
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 06 day of duNE 20_ by
this 06 day of auNE 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
(Signature of NotarySi
AM. AGUIRRE
( g nature of
=;a. g()N#OS 191327
Commission No. i MY CO
Commission N
. i'"Y::.' , MARTA M.AGUI RE
=i�'''. MYCOMMISSIONlj '1327
i.. Sega
EXP��rchg,2022
..... Bondad rm NOM Ptd*Undenrtiters
•e: M'. M• 9,20
•'•'.'eoF�;;°;' Bonded'Rw Notary Pubk UndomTftm
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17