HomeMy WebLinkAboutApplication 1757ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01/16/2019 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
PERMIT APPLICATION FOR: Mechanical
Address: 1757 SE TIFFANY CLUB PL
Legal Description:
Property Tax ID #: 3414-501-3503-000-5
Site Plan Name:
Project Name: RESERVE AT PORT ST LUICE APTS
Setbacks Front Back: Right Side
LIKE FOR LIKE A/C CHANGE OUT
A/H MODEL # LSM24223ES002
CONDENSER MODEL # 14ACXS024
2 TON
14 SEER
5 KW
J Gas Tank UGas Piping
❑ Plumbing ❑Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 2,200.00
a
Left Side:
X
Lot No.
Block No.
Shutters ❑Windows/Doors
Generator ❑Roof = Roofpitch
5 Ft. of First Floor: _
Utilities:❑ Sewer ❑Septic
Building Height:
v. ,-
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
Zip Code: 30305 Fax:
Phone No. 772-242-9612
Address: 25 SW CABANA POINT CIRCLE
City: STUART State: FL
Zip Code: 34997 Fax: 772-647-7544
Phone No. 305-528-1392
E -Mail: manager@reservearportstlucie.com
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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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 b orded and posted on the jobsite
before the first inspection. If you intend to obtain financing, cons with ender or an attorney before
commencing work or recording your Notice of Commencement. �.
Caru n� .T Gu rcl o►�
Signature of Owner/ Lessee/Contractor as Agent for Owner
s
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF MARTIN COUNTY
COUNTY OF MARTIN CCUNTY
The forgoing instrument was acknowledged before me
DESIGNER/ENGINEER: x
Not Applicable
this 16 day of Janaary , 20_ by
MORTGAGE COMPANY: _
Not Applicable
Name: TIFFANY PARK PARTNERS LTD% WAYPOINT RESIDENTIAL
Name of person making statement
Name: OSCAR ACALZADILLA
Personally Known x OR Produced Identification
Address: 1757 SE TIFFANY CLUB PL
Type of Identification
Produced
Address: 3475 PIEDMONT RO NE STE1640
(Signature of Notary Publics ate of Florida)
City: ATLANTA
State:
Commission No. GG191327 (Seal)
City: STUART
State:
Zip: Phone
ZONING
SUPERVISOR
Zip: Phone:
VEGETATION
FEE SIMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY: _Not
Applicable
Name:
REVIEW
REVIEW
Name:
REVIEW
Add ress: 25 sW CABANA POINT ORCLB
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 b orded and posted on the jobsite
before the first inspection. If you intend to obtain financing, cons with ender or an attorney before
commencing work or recording your Notice of Commencement. �.
Caru n� .T Gu rcl o►�
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature antra / cense Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF MARTIN COUNTY
COUNTY OF MARTIN CCUNTY
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 16 day of Jaaaa,r 20 by
this 16 day of Janaary , 20_ by
Grant T Cordon.
Osc r Calzaailla
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 Publics ate of Florida)
(Signature of Notary Pbl c- State of Florida)
Commission No. GG191327 (Seal)
Commission No. GG 181327 (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17