HomeMy WebLinkAboutbuilding permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/1B/2018 Permit Number:
ti J
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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: 1621 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:
LIKE FOR LIKE A/C CHANGE OUT 2 TON
A/H MODEL# LSM24223ES002 14 SEER
CONDENSER MODEL# 14ACXS024 5 KW
CONSTRUCTION INFORMATION:
Aclational worK TO be perTorme un er t Is permit—c ec a app y:
ElZHVAC Gas Tank []Gas Piping _Shutters Windows/Doors
Electric Plumbing Sprinklers Generator Roof Roof pitch
Total Sq.Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 2,200.00 Utilities: i0Sewer 0 Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name TIFFANY PARK PARTNERS LTD'A WAYPOINT RESIDENTIAL 1 Name: OSCARA CALZADILLA
Address:3475 PIEDMONT RD NE STE 1640 Company: UNICO AIR CONDITIONING COMPANY
City: ATLANTA State:GA Address: 25 SW CABANA POINT CIRCLE
Zip Code: 30305 Fax: City: STUART State:FL
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
from the Owner listed above) State or County License: CAC1814920
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
1 PIRL MENTAt t3 G t�3N fi tE 11 i4 tPt 3f tt%k
DESIGNER/ENGINEER: x_ Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: TIFFANY PARK PARTNERS LTD%wAYPOINT RESIDENTIAL Name:OSCAR A CALZADILLA
Address: 1621 SE TIFFANY CLUB PL Address: 3475 PIEDMONT RD NE STE1640
City: ATLANTA State: City: STUART State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Add Tess: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 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 fallowing 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 wi h lender or an attorney before
commencing work or recording our Notice of Commencement.
CTYGof 1 CQYG�OI'?Q,
Signature of Owner/Lessee/Contractor as Agent for Owner Sig ture of ontr c /Llcense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF MAR71NCOUNTY COUNTYOF MAR"INcoUNT,
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 15 day of Oct 20 by this 18 day of oa , 20_ by
Grant T Cardone OSCAR A CALZADILLA
Name of person making statement Name of person making statement
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary P ic- i nature of Notary ' .2..,c
MARTA M.AGU'IRRE
•.> F .# r �k1ARTA M.AGUIRRE
Commission No. FFoas121 ;� b tj ^S MYCOMMI^
111MI�..IGN#GF',,1973 C mission No PP 5�21�; °�3@M�Of°7913<<"7
7.0 EXPIRES:March 9,2022 'e?,,F„>�;:` EXPIRES:March 9,2022
_ Bandatl�£ TNUNotary Pudic Unai!w,H;ers oFF;°p' Bonded Thru NntapPublic UndeiMai rs
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17