HomeMy WebLinkAboutBuilding Permit Application From:Alex Lopez Fax:(772)621-5959 To:7724621578@rcfax.con Fax: (772)462-1578 Page 4 of 6 1111 M01 7 1:59 PM
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 2
Date: 11/06/2017 Permit Number: I I f 1 .32Z
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 Resid+ ntial X
PERMIT APPLICATION FOR: To Select from dropbox, click here
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Address: 8800 S OCEAN DRIVE#703
Legal Description: ISLAND DUNES OCEANSIDE CONDOMINIUM II UNIT 703
Property Tax ID#: 3535-603-0057-000-7 Lot Na.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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HEAT PUMP INSTALL: CLOSET-VERTICAL/ 3TON / EER:13.5
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Additionalworkto V e e orme under tis permit—checka appy:
HVAC 0 Gas Tank ❑Gas Piping _5hutters Q Windows/Doors,
Electric EJ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq.Ft of Construction: Sq. Ft.of First Floor:
Cast of Construction:$ 6564.00 Utilities: Sewer E]Septic Building Height:
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Name JOANN T HUGHES Name: DON J.MIRANDA
Address:8800 S OCEAN DRIVE#703 Company: MIRANDA PLUMBING&'AIR CONDITIONING
City: JENSEN BEACH State:FLAddress: 750 NW ENTERPRISE DRIVE
Zip Code: 34951 Fax: — City: PORT ST. LUCIE State:FL
Phone No. Zip Code: 34986 Fax:
E-Mail: Phone No. 772-878-1523
Fill in fee simple Title Holder on next page(if different E-Mail: ALOPEZ@MIRANDACOMPANIES.COM
from the Owner listed above) State or County License: CA 61815486
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If value of construction is$2500 or morei
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,a RECORDED Notice of Commencement is required.
1
From:Alex Lopez Fax:(772)621-5859 To:7724621578@rcfax.con Fax: (772)462-1578 Page'i of 6 1111312017 1:59 PM
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DESIGNERJENGiNEER: Not Applicable MORTGAGE COMPANY: i Not Applicable
Name: Name:
Address: _ Address:
City: — State: City:_ _ I State:
Zip: Phone Zip: Phone:
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FEE SIMPLE TiTLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address:750 NW ENTERPRISE DRIVE 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 Count makes no representation that is granting a permit will authorize the permit holder.to build the subject structure
which is in convict 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.
1 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 organ attorney before
comrne;34ing work or recbrding your Notice of Commencement.
Sigr%aturg:df Owner/Lessee/Co ntrac`tor as Agent for Owner Signatu a of ontractor/License!Halder
STATE OF FLORIDA ,. STATE OF FLORIDA
COUNTYOF '--t-l` - COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this3,t day of Dc* ,20cZ by this a1 day of Sc 200 by
��L.�ice: . � � i �'—A� `i�� �'c. t•� �.� - f--i it �'i�� +��
Name of person making statement Name of per n making statement
I I Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of identification Type of Identification
Produced Produced
(Signature of Notary Public-
�State
�off Florida} (Signature of Notary Public-State of Florida}
Commission No. _3 v� �`T Seai} Commission No. CACI111f+> 8, G(Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
f COUNTER REVIEW REVIEW REVIEW REVIEW ;REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev,S/ '�6Lort Diodato
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z _ Expires Feb. $, 20Z1 s-O *=S.14 Cat ices Feb.
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