HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/18/2017 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: To Select from dropbox, click arrow at the end of line
Address: 5906 BAMBOO DRIVE
Legal Description: INDIAN RIVER ESTATES- UNIT 09-BLK 87 LOT 2(MAP 34/12S)(OR 3761-2447)
Property Tax ID #: 3402-610-0498-000-3
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
REPLACE LIKE FOR LIKE: WATERHEATER / 30 GALLON GARAGE
Lot No. 2
Block No. 87
Aaditional work to be nertormed under this permit— check all apply:
HVAC 0 Gas Tank ❑Gas Piping _ Shutters Windows/Doors
11 Electric 0 Plumbing Sprinklers 1�i Generator Roof Roof pitch
Total Sq. Ft of Construction: S� of First Floor:
Cost of Construction: $ 1533.64 Utilities: Sewer F—] Septic Building Height:
Name CLAUDIA SPROUL
Address: 5906 BAMBOO DRIVE
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No.
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: DON MIRANDA
Company: MIRANDA PLUMBING & AC
Address: 750 NW ENTERPRISE DRIBVE SUITE # 100
City: PORT ST.LUCIE State: FL
Zip Code: 34986 Fax:
Phone No. 727-878-5123
E -Mail: alopez@mirandacompanies.com
State or County License: CFC1427227
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Not Applica
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: _
Address:
City:
Zip:
Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
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
pply..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 first Inspection. If you intend to obtain financing, cons
u 't�eieFer-3Q attorney before
Signature of Owner/ Lessee/Agent
STATE OF FLORI A t
COUNTY OF 'F—�:��-
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Personally Known Ll-�OR Produced Identification
Type of Identification Produced
Commission No. YF (Seal)
Revised 07/15/2014
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Type of Identification Produced
Commission No.�(Seal)
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SUPERVISOR
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PLANS
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VEGETATION
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SEATURTLE
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DATE
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INITIALS