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: 1641 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
2 TON
A/H MODEL # LSM24223ES002
14 SEER
CONDENSER MODEL # 14ACX3024
5 KW
Left Side:
x
Lot No.
Block No.
Additional work to be nertormed under this permit— cnecK an inai apply:
✓HVAC Gas Tank ❑Gas Piping _Shutters .Windows/Doors
❑Electric Plumbing Sprinklers E Generator L]Roof Roof pitch
Total Sq. Ft of Construction: SgFtj. of First Floor:
Cost of Construction: $ 2,200.00 Utilities: LJ Sewer OSeptc Building Height:
Name TIFFANY PARK PARTNERS LTD % WAYPOINT RESIDENTIAL
Address: 3475 PIEDMONT RD NE STE 1640
City: ATLANTA State: GA
Zip Code: 30305 Fax:
Phone No. 772-242-9612
E -Mail: manager@reservearportstlucie.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: OSCAR A CALZADILLA
Company: UNICO AIR CONDITIONING COMPANY
Address: 25 SW CABANA POINT CIRCLE
City: STUART State: FL
Zip Code: 34997 Fax: 772-647-7544
Phone No. 305-528-1392
E -Mail: marty@unicohvac.com
State or County License: CACI 814920
If value of construction is $2500 or more, a RECORDED Notice of Commencement is
EE#fA1 C f'fi tE? #A?f tftiN ,
DESIGNER/ENGINEER: x Not Applicable
Name: TIFFANY PARK PARTNERS LTD 'A WAYPOINT RESIDENTIAL
MORTGAGE COMPANY: _
N a me: OSCAR A CALZADILLA
Not Applicable
Ad d re ss: 1611 BE TIFFANY CLUB PL
Address: 3475 PIEDMONT RD NE STE1040
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:
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 yy 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, consult with lender or an attorney before
commencine work or recording your Notice of Commencement
&rUn�- T 00rdOrv-
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF MARTIN COUNTY
The forgoing instrument was acknowledged before me
this oe day of JUNE , 20_ by
OSCAR A CALZADILLA
Name of person making statement
Personally Known X OR Produced Identification
Type of Identification
(Signature of
My COM SS,I(�NSC:h 191327
Commission No. - SP1 eS'March 9, 2022
REVIEWS
Rev. 8/2/17
of
STATE OF FLORIDA
COUNTY OF MARTIN COUNTY
The forgoing instrument was acknowledged before me
this 0e day of JUNE , 20 by
OSCAR A CALZADILLA
Name of person making statement
Personally Known X OR Produced Identification
Type of Identification
(Signature of Notary
Commission No.
FRONT ZONING SUPERVISOR J PLANS I VEGETATION
COUNTER REVIEW REVIEW I REVIEW I REVIEW
COMMON406191327
EXPIRES: March 9; 2022
W Tin NQbM Public Uiider Din;
SEATURTLE I MANGROVE
REVIEW I REVIEW