HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �1
Date: 4/18/2017 Permit Number:
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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: To Select from dropbox, click arrow at the end of line
PROPQSED Ia/IPRQVEMENT'LOCATI`C?N:
Address: 8505 BELFRY PLACE PORT ST LUCIE FL 34986
Legal Description: POD 28 AT THE RESERVE LOT 54(OR 1909.808)
Property Tax ID#: 3327-701-0057-000-9 Lot No.
Site Plan Name: 8505 BELFRY PLACE Block No.
Project Name: PAUL SHOOBE
Setbacks Front Back: Right Side: Left Side:
TAILED,`D;ECRI,PTION OF 1NORK
HVAC CHANGE OUT SAME LOCATION
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CONSTRUCTION INFORMATION
Additional worK to i3e nertormed under this permit—checl all appy:
ZHVAC Gas Tank Gas Piping Shutters a Windows/D'oors
Electric 0 Plumbing ]Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction:$ 5475 Utilities:In Sewer O Septic Building Height:
OWNER/LESSEE.; CONTRACTOR
..
Name PAUL SHOOBE Name: STEVEN H MIKLOS
Address:8505 BELFRY-PLACE Company: MIKLOS AIR INC
City: PORT ST LUCIE State:FL Address: 231 JUPITER STREET
Zip Code: 34986 Fax: City: JUPITER State:FL
Phone No.772-429-5401 Zip Code: 33458 Fax: 561-745-8446
E-Mail: Phone No. 561-575-2173
Fill in fee simple Title Holder on next page(if different E-Mail: DEEANN@MIKLOSAIR.COM
from the Owner listed above) State or County License: CAC036799
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
"Su, PLEMENTALCONSTRUCT'ION LIEN LAIN IWgRMATIC+N
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 w rk or recording c r Notice of Commencement.
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Signature f Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF-PALM BEACH CO U NTY OF PALM BEACH
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of Apn 1 20 L-2-by this jLday of - • t7 20 17 by
STEVEN H MIKLOS STEVEN H MIKLOS
(Name of person acknowledgin (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known X OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. lission No. ea
e
,., �••, a•: : : S F AMIIE BAR NE
=o,: �:: STEPHANIE BA NES MY COMMISSION#FF09999
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EXPIRES March 30,2018
Revised 07/15/2014 ';" ..e EXPIRES March 30,2018OFF`,,•+' 7)398-0753 FloridallotaryService.com
(a07)3s8 0153 Flo ridallotaryService.com
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