HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 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 x
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 1537 SE TIFFANY CLUB PL
Legal Description:
Property Tax ID #: 3414-501-3503-000-5 Lot No.
Site Plan Name: Block No.
Project Name: RESERVE AT PORT ST LUICE APTS
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
eb
LIKE FOR LIKE A/C CHANGE OUT 2 TON 5 klAl WL4-rCr
A/H MODEL # LSM24223ES002 14 SEER
CONDENSER MODEL # 14ACXS024 5 KW
CONSTRUCTIONINFORMATION:
Aciclitional wor to De nertormeci under tispermit–check all Qlalapply;
❑✓— HVAC Gas Tank 0Gas Piping Li Shutters Windows/Doors
11 Electric 0 Plumbing Sprinklers F-1 Generator EIRoof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 2,200.00 Utilities:cn Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name TIFFANY PARK PARTNERS LTD % WAYPOINT RESIDENTIAL
Name: OSCAR CALZADILLA
Address: 3475 PIEDMONT RD NE STE 1640
Company: UNICO AIR CONDITIONING COMPANY
City: ATLANTA State:GA
Address: 25 SW CABANA POINT CIRCLE
City: STUART State: FL
Zip Code: 30305 Fax:
Phone No. 772-242-9612
Zip Code: 34997 Fax: 772-647-7544
E-Mail: manager@reservearportstlucie.com
Phone No. 305-528-1392
Fill in fee simple Title Holder on next page ( if different
E-Mail: marty@unicohvac.com
State or County License: CAC1614920
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
UPPE 1�► Ai `GC3 I !# LI i 1 3 i IU LAW1, 1 T Ql
DESIGNER/ENGINEER: X Not Applicable
Name: TIFFANY PARK PARTNERS LTD% WAYPOINT RESIDENTIAL
MORTGAGE COMPANY: _
Name: OSCAR A CALZADILLA
Not Applicable
Address: 1537 SE TIFFANY CLJBPL
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: _Not
Name:
Applicable
Address: 26 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 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 rded and posted on the jobsite
before the first inspection. If you intend to obtain financing, cons wit er or an attorney before
commencine work or recordine vour Notice of Commencemen .
&ram T Ctorclorle
of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF MARTIN COUNTY
The forgoing instrument was acknowledged before me
this t6 day of 0=1 20 by
Name of person making statement
Personally Known X OR Produced Identification
Type of Identification
Produced
(Signature of Notar !Wr
. oG110
Commission No Fa99$ -'- i o�E'-''qb) '
EkPJR
REVIEWSI FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
Rev.
STATE OF FLORIDA
COUNTY OF MARTIN COUNTY
The forgoing instrument was acknowledged before me
this 15 day of Oct , 20_ by
OSCAR A CALZADILLA
Name of person making statement
Personally Known X OR Produced identification
Type of Identification
MAF A 1 - A;iUIR.RP
O%w__l - N # ('!.; 191'.
EXPIRES March <_, 2322
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SUPERVISREVIEWOR REVIEW I PLANSV REVIEW ON I SEREV EWLE MREV EWVE