HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 04/08/2019 Permit Number:
4'I J _
• 10
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34981
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 1671 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 # FMA4P2400 14 SEER
CONDENSER MODEL # NXA424GKC 5 KW
CONSTRUCTION INFORMATION:
ACIamonal wor to be Derforil ell 5iltifliIs permitappy:
❑✓
HVAC Gas Tank ❑Gas Piping _ Shutters []Windows/Doors
Electric Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 2,200.00 Utilities:Sewer Septic 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@reserveatportstlucie.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: CAG1614920
If value of construction is $2500 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name: TIFFANY PARK PARTNERS LTD% WAYPOINT RESIDENTIAL
MORTGAGE COMPANY:
Name: OSCAR A CALZADILLA
Not Applicable
Address: 1871 BE TIFFANY CLUB PL
Address: 3475 PIEDMONT RD NE STE1640
City: STUART
Zip: Phone:
State:
City: ATLANTA State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
Not Applicable
Address: 25 SW CABANA POINT CIRCLE
Address:
Name of person making statement
City:
City:
Personally Known x OR Produced Identification
Zip: Phone:
Zip: Phone:
Produced
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 Countv makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or anscovenants 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, It with lender or an attorney before
commencing work or recordin our Notice of Commence n
&rangy- T nindone
Signature of Owner/ Lessee/Contractor as Agent for Owner
S a of for/License Holder
STATE OF FLORIDA
STATE LOR DA
COUNTY OF MARTIN COUNTY
COUNTY OF MARTIN COUNTY
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 8 day Of APnI 20 by
this a day of April 20 by
Grent T Cardone
Oscar A Caindilla
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 Nota blit- StME
M.AGUIRR
I ture of N a Public- State of Florida)
ION#GG1 132:COmm155100 NO. GG 191327 Om ISSIOnNO. GG19732a;.: PM.AGUIRRE
9.20:21
: Mardi MYCOMMISSION#Cs.,19132?
ary Public UD.,
EXPIRES: March 9,2022
!�'OL F\OPo•
REVIEWS
FRONT ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE MANGROVE
COUNTER REVIEW
REVIEW
REVIEW
REVIEW
REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17