HomeMy WebLinkAboutBuilding permit appALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 05/18/2020 Permit Number:
5 J
• 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 X
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 1584 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
Left Side:
Residential
Lot No.
Block No.
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 lo rformed un ert Ispermit—check all appy:
n
❑✓ HVAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
[]Electric ❑Plumbing ❑Sprinklers ❑Generator 0 Roof ❑ Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 2,200.00
S Ft. of First Floor:
Utilities: Sewer 0 Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name TIFFANY PARK PARTNERS LTD % WAYPOINT RESIDENTIAL
Address: 3475 PIEDMONT RD NE STE 1640
Nape; OSCAR A CALZADILLA
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@reserveatportstlucie.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: CAC1614920
if value of construction is $2500 or more, a RECORDED Notice of Commencement is requirea.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X_ Not Applicable
Name; TIFFANY PARK PARTNERS LTD% WAYPOINT RESIDENTIAL
MORTGAGE COMPANY: _
N a me; OSCAR A CALZADI LLA
Not Applicable
Ad d resp; 1584 SE TIFFANY CLUB PL
Address: 3475 PIEDMONT RD NE STE1640
STATE IDA
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
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 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 m ehccoerrcled and posted on the jobsite
before the first inspection. If you intend to obtain financing,
der or an attorney before
...L nr rn�n Yriina vnur NntIPP of r•nryn AlPrIfP t. ��
Rev. 8/2/17
Signature of Owner/ Lessee/Contractor as Agent for Owner
SiggjtZ of on ractor/ ' ense Holder
STATE OF FLORIDA
STATE IDA
COUNTY OF Martincaunty
COUNTY OFMYrnnon-nn
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 1a day of May 20 by
this to day of may 20_ by
Grant T Cardona
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 Nota ublialY lorida'"f "TAM.
191327
ignature of Notary
'irate.' MARTA M. AGUIRRF
MY COOMMMiSS10N#GG
Commission No. GG 191327 '";> ;A;' W(�ES:Ma�B'2022
PublicllndeWRe
Ommission No. GG1
_;,g:::
? MycoMJ§W#GG19ly
EXPIRES:March9.20 ;
•.•• �R• Be ed Thru Notary
,o;
"°oFh°'• Bonded Thor Notary Public Un
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17