HomeMy WebLinkAboutbuilding permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/18/2018 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 Residential x
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 1675 SE TIFFANY CLUB PL
Legal Description:
Property Tax ID#: 3414-501-3503-000-5 Lot No.
Site Plan Name: Black 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:
Additional work to be performed under t ispermit—check all that apply:
❑✓—HVAC Gas Tank Gas Piping _Shutters ❑Windows/Doors
11 Electric Plumbing ❑Sprinklers 11 Generator L] Roof Roof pitch
Total Sq. Ft of Construction: 5 Ft. of First Floor:
Cost of Construction: $ 2,200.00 Utilities: Sewer Dseptic Building Height:
OWNER/LESSEE: 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 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.
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: TIFFANY PARK PARTNERS LTD q WAVPOINT RESIDENTIAL Name:OSCAR A CALZADILLA
Add reSS: 1675 SE TIFFANY CLUB PL Address: 3475PIEDMONTRDNE STE1640
City: ATLANTA State: City: STUART State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
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.
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, consu ender or an attorney before
commencing work or recording our Notice of Commencemen
67ron+ T Curdyrw_
Signature of Owner/Lessee/Contractor as Agent for Owner Signa re of Co a or nse Holder
STATE OF FLORIDA STATE OF FL A
COUNTY OF MARTINCOUNTV COUNTY OF MARTIN COUNTY
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 18 day of Oct 20_ by this to day of Oct 20 by
Grant T Cardona 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
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YJIJt>QJ�46�ck yk J
(Signature of Not Public-State of Florida) (Signature of N ry Public-State of Florida
Commission No. Rr -� :'�' ° MARTA M.AGUiRRE ((cCam�
i Ak AMISS®i �I. Commis69f.4MiSS19N liC;191V'Z9al
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x EXPIRES'March 9 2022
EVI ES March022 i e &�ndso Thru Notary Public.L'ntlaiwnEers
REVIEWS T ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17