HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 04/30/2018 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 x Residential
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 1605 SE Tiffany Club PI
Legal Description:
Property Tax ID #: 3414-501-3503-000-5
Site Plan Name:
Project Name: Reserve Port St Lucie Api
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Replace existing A/C unit with a 2 ton Lennox 14 Seer R410
Condenser Model # - 14ACXS024
Air Handler Model # - LSM24223ES002
S kW
Lot No.
Block No.
CONSTRUCTION INFORMATION:
trona work to be nertormed under tispermit — check all appy:
— HVAC L_I Gas Tank F]Gas Piping _ Shutters Windows/Doors
❑✓
11 Electric Plumbing Sprinklers ElGenerator Roof Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 2,200
S�Ftj. of First Floor: _
Utilities: LJSewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Tiffany Park Partners LTD
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. 772-245-4530
Address: 25 SW Cabana Point Circle
City: Stuart State: FI
Zip Code: 34994 Fax: 772-647-7544
Phone No. 305-528-1392
E -Mail:
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: CAC1814920
IT Valve or construction Is pLDUu or more, a KtCUKULD Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
FRONT
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
MANGROVE
Address:
COUNTER
City:
Zip: Phone:
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
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, consult witb.4eqer or an attorney before
commencing work or recording our Notice of Commencement.
&yo n+ T CG rdOn¢
s
Signature of Owner/Lessee/Contractor as Agent for Owner Signature Contract /Lic n Ho der
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Martin County COUNTY OF Mame County
The for )mgtnstry�me t was acknowledged}�efore me The for Ding instrument1was acknowledged before me
this I� day of C..G 20 by this ig day of ° r ` 20 18 by
Grant T Cardono� Oscar A Calzaddia
r(Name
of person acknowledging
I (Name of person acknowledging )
(Signature of Notary blit- State of Florida ) (Signature of Notary Public- Ute of Florida )
Personally Known x ,n uce 4 rA IA69# Personally Known x OR Produced Identification
Type of Identification Type of Identification Produced
r I r s raroll io
EXFIRES: Malrh,3 0
Commission No. .r .-,, sonde' T6"Ja. Pubic urro'.vbom Commis opt
{fib,,,_ neeareee eGUIRRE ea
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fdY CONiMI5510N#(X;13132'
N'�OF EF°'e Bonded Thru No!ary Public L)ndeRYdlers I
Revised 07/15/2014 - --
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS