HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 04/30/2018 Permit Number:
J
•
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 x Residential
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 1710 SE Tiffany Club PI
Legal Description:
Property Tax ID #: 3414-501-3503-000-5
Site Plan Name:
Project Name: Reserve Port St Lucie Apt
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: I
Replace existing A/C unit with a 2 ton Lennox 14 Seer R410
Condenser Model # - 14ACXS024
Air Handler Model # - LSM24223ES002
5 kW
r
CONSTRUCTION INFORMATION: III
Z✓ HVAC
Electric
Li
Gas Tank
Plumbing
0
Total Sq. Ft of Construction:
Cost of Construction:
$ 2,200
Piping
u
Shutters
Name: OscarA Calzadilla
Windows/Doors
nklers
City: Atlanta State:GA
Zip Code: 30305 Fax:
Phone No. 772-245-4530
1i
Generator
E -Mail: I
Fill in fee simple Title Holder on next page I if different
from the Owner listed above)
Roof
=
Roof pitch
SFt. of First Floor: _
Utilities:]Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Tiffany Park Partners LTD
Name: OscarA Calzadilla
Address: 3475 Piedmont RD NE Ste 1640
Company: Unico Air Conditioning Company
City: Atlanta State:GA
Zip Code: 30305 Fax:
Phone No. 772-245-4530
Address: 25 SW Cabana Point Circle
City: Stuart State: FI
1 Zip Code: 34994Fax: 772-647-7544
Phone No. 305-528-1392
E -Mail: I
Fill in fee simple Title Holder on next page I if different
from the Owner listed above)
E -Mail: marty@unicohvac.com
State or County License: CAC1814920
VU — „?LJUU U[ ,.,ore, a mca UKucu rvonce or L,ommencement is requires.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Name:
City:
Zip:.
ne:
FEE SIMPLE TITLE HOLDER:
Name: _
Address!
City:
Zip:
_ Not Applicable
State:
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
BONDING COMPANY: _Not Applicable
Name: _
Address:
Zip: Phone:
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 recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consulnder or an attorney before
commencing work or recording your Notice of Commencement. //:0 1
&ro n +- T (d 00rLC
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF Martincounty
The forgoing instru nt as acknowledgeiefore me
this day of 20 by
Gant T Cardone�
(Name of person acknowledging)I
STATE Of-ELQ$lIIX-
COUNTY OF Mann co,nty
The forgoing instrument was acknowledged before me
this IS day of ° Ob + 20 16 by
Oscar A Calzadilla
(Name of person acknowledging)
LuQpt wa�
(Signature of Notary P bl! -State of Florida j (S( ature of Notary
ate of Florida )
Personally Known x
Type of Identification F
Commission No.
Revised 07/1
OR Produced Identification
_ MART(SUil3UIRRE
HN CO4AM15SIGN # CA 191327
Banded
Personally
Type ofldi
Commission
EXXPIRPIR S!ONp(,vVe!5i 327
ES: btar4 *2
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS