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
PROPOSED IMPROVEMENT LOCATION:
Address: 1736 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:
I DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE A/C CHANGE OUT
A/H MODEL # LSM24222ES002
CONDENSER MODEL # 14ACXS024
2 TON
14 SEER
5 K
Left Side:
Residential x
Lot No.
Block No.
CONSTRUCTION INFORMATION:
Ad clitional worK to Die
ne orme under tISpermit — c ec a 11 in at appy:
❑✓ HVAC L I Gas Tank ❑Gas Piping _ Shutters F]Windows/Doors
11 Electric ❑Plumbing Sprinklers 1:1Generator Roof = Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 2,200.00
SqI Ft. of First Floor: _
u
Utilities: Sewer Septic
Building Height:
OWNERAESSEE:
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@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: CAG1814920
If value of construction is $2500 or more, a RECORUEU Notice OT Commencement is requires.
*�CtPtsEE Ct Cf ?i C# '# W-0, it
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DESIGNER/ENGINEER: Not Applicable
Name: TIFFANY PARK PARTNERS LTD Y, WAYPOINT RESIDENTIAL
MORTGAGE COMPANY:
Name: OSCAR A CALZADILLA
Not Applicable
Address: 1736 BE TIFFANY CLUB PL
Address: 3475 PIEDMONT RD NE STE1640
City: ATLANTA State:
Zip: Phone
City: STUART
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
Not 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.
1 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, cons rider or an attorney before
commencin¢ work or recording your Notice of Commenceme
bra n�- T
CGL rd one
Signature of Owner/ Lessee/Contractor as Agent for Owner ignature of
STATE OF FLORIDA STA-ff a
COUNTY OF MARTIN COUNTY COUNTY
The forgoing instrument was acknowledged before me
this w day of JUNE 120 by
OSCAR A CALZADILLA
Name of person making statement
Personally Known x OR Produced Identification
Type of Identification
Produced
r _
(Signature of Notary c State of F .�..
MAR1'AM.AGli' S ,,.327
Commission No. ""'4;•:• UY 690PISSION
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EXPIRES: a h c una°
REVIEWS
DATE
Rev. 8/2/17
MARTIN COUNTY
The forgoing instrument was acknowledged before me
this 36 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 Pu State of Florida) _ _
mission No.
GUIRRE
MY com''91327
FRONT ZONING SUPERVISOR I PLANS I VEGETATION I SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW