HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03/03/2020 Permit Number:loo
-. - RECEIVED
Building Permit Application
Planning and Development Services MAR 0 3 ?020
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 ST. Lucie County, Permitting ,
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Res
idential
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT-LOCATION
Address: 1728 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 DESCRIPTIONOF 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 nertormed under t Ispermit—c ec<a appy:
HVAC Gas Tank Gas Piping Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers E]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: CAC1814920
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:1728 SE TIFFANY CLUB PL Address: 3475 PIEDMONT RD NE STE 1640
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, consult with lender or an attorney before
commencing work or recordingour Notice of Commencemen .
C..5—ron4 Y'd6)rL(2—
Signature of Owner/Lessee/Contractor as Agent for Owner Sign ure of Contr t cense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Martin County COUNTY OF Martin county
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 21 day of Feb 20_ by this 21 day of Feb 20 b
— Y
Grant T Cardone 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 Produced
(Signature of Notary b' q g� p/ (Signature of Notary Pu Sita on on a AAR'rAM.AGUlRRE
;4,lPPY PU2`� iVili�'ITH IYI.riVUIRRE J��.�,
Commission No. GG 19132 _ °*_ MY i S"ION#C£191327 ommission No. GG 191x27 ."u MyCONIP, ISSION#GG 191327
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�:4"= EXf'IRFS:March 9,2022 fLrS:flarch 9,2022
� Bonded Thru Notary Public UnderwriteFOFr,off' Bonded Tnru Notary Public Undesviritersit _ _
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.$/2/17