HomeMy WebLinkAboutBuilding Permitg ApplicaitonALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 08i22i201 9 Permit Number:
I
•
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) 462-1S78 Commercial x Residential
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 1519 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 # FEM4P2400AL 14 SEER
CONDENSER MODEL # NXA424GKC 5 KW HEATER
CONSTRUCTION INFORMATION:
Additional worK to be oerformed under tispermit—check ail apply:
ZHVAC Gas Tank []GasPiping_Shutters ❑Windows/Doors
Electric 0 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
City: STUART State: FL
Zip Code: 30305 Fax:
Phone No. 772-242-9612
Zip Code: 34997 Fax: 772-647-7544
E-Mail: manager@reserveatportstiucie.com
Phone No. 305-528-1392
FIII in fee simple Title Holder on next page ( 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:
DESIGNER/ENGINEER: x Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: TIFFANY PARK PARTNERS LTD% WAYPOINT RESIDENTIAL
Name: OSCAR A CALZADILLA
Address: 1519 SE TIFFANYCLUBPL
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:
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, ender or an attorney before
commencing work or recording our Notice of Commence t
&ran4- T Gardone.
Signature of Owner/ Lessee/Contractor as Agent for Owner
sl ature f Co ractor Icense Holder
STATE OF FLORIDA
STATE DA
COUNTY OF me ti rc oty
COUNTY OF m—c..nh.
The forgoing instrument was acknowledged before me
this 22 day of Au9uet 20_ by
The forgoing instrument was acknowledged before me
this 22 day of Au9usl 20_ by
Grant T Cardona
Oscar A Calzadilla
Name of person making statement
Name of person making statement
Personally Known n OR Produced Identification
Type of Identification
Personally Known " OR Produced Identification
Type of Identification
Produced
Produced
L a�
(Signature of Notary ublic-
Commission No. GG 191327
IRRE
G 1912Co
9, 2022
UMww
iM
ature of Notary Pu
N"•• MARTAM.AGUIR.RE
mission No. GG 1s1 :MV C048tAflpNXOG 191327
' - EXPIRES: March 9, 2o22
'tem .m��E`.`F°•�'�, Bonded Thru Notary Publk Undenrthers
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17