HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 04/08/2019 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 x
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 1777 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 APT$
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE A/C CHANGE OUT 2 TON
AM MODEL # FMA4P2400 14 SEER
CONDENSER MODEL # NXA424GKC 5 KW
CONSTRUCTION INFORMATION:
Additional work to be bertormed under tispermit—check all appy:
10HVAC Gas Tank []Gas Piping _ Shutters ❑ Windows/Doors
11 Electric Plumbing Sprinklers Generator Roof Roof pia:h
Total Sq. Ft of Construction: S� of First Floor:
Cost of Construction: $ 2.200.00 Utilities: Sewer ElSeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name TIFFANY PARK PARTNERS LTD % WAYPOINT RESIDENTIAL
Name: OSCAR A CALZADILLA
Company: UNICO AIR CONDITIONING COMPANY
Address: 3475 PIEDMONT RD NE STE 1640
City: ATLANTA State: GA
Address: 25 SW CABANA POINT CIRCLE
City: STUART State: FL
Zip Code: 30305 Fax:
Phone No. 772-242-9612
Zip Code: 34997 Fax: 772-647-7544
E -Mail: manager@reservestportstlucie.com
Phone No. 305-528-1392
Fill in fee simple Title Holder on next page I if different
E -Mail: marty@unicohvac.com
State or County License: CAC1614920
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
((6w)
DESIGNER/ENGINEER: x Not Applicable
Name: TIFFANY PARK PARTNERS LTD% WAYPOINT RESIDENTIAL
MORTGAGE COMPANY: _
Name: OSCAR A CALZADILLA
Not Applicable
Address: 1777 BE TIFFANY CLUB PL
Address: 3975 PIEDMONT RO NE STE 1500
COU TYO MARTIN COUNTY
City: ATLANTA State:
Zip: Phone
City: STUART
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not
Name:
Applicable
Address: 25 SW CABANA POINT CIRCLE
City:
Address:
Personally Known x OR Produced Identification
City:
Type of 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 County makes no representation that is granting a permit will authorize thepermit 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, u t Ith lender or an attorney before
commencing work or recording Vour Notice of Commence eot�
&ran -v T Ca rdale
((6w)
Signature of Owner/ Lessee/Contractor as Agent for Owner
igna ur ontr c r/License Holder
STATE OF FLORIDA
STATF OF F ORIDA
COUNTY OF MARTIN COUNTY
COU TYO MARTIN COUNTY
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this a day of AP^I . 20_ by
this 8 day of APNI . 20_ by
Grant T Cardone
Oscar A Calzaollla
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
:df.P.1A M. AGUIRRE
(Signature of Not y ublic-State of Florida )
(Signature of No J#'gAi4 TIONxc-n 191327
=.•.;o EXPIRES. March 9. L022
:,
R..... pP:
Commission No. GG 19 zY•+P,Fr`•• Bonded lh Pwfcuro�arvn++urs
Commission No. GG 1327 _•;',rhe•••.,
..
.A M. AGUIRRE
,= MYCOMMISSION NGG 191327
EXPIRES: March
9 . 2022
Notary Pumc Undanv.it,
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17