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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 12/21/2017 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: Mechanical PROPC�5E© I It', E t .,LI T ".....' Address: 8603 SALERNO ROAD Legal Description: LAKEWOOD PARK- UNIT 8-A Property Tax ID #: 1301-609-0014-000-7 Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: Lot No. 2 Block No. 2 LIKE FOR LIKE A/C CHANGEOUT; SEER 16.5 / GARAGE & GROUND/ 3 TONS/ 8KW HVAC ❑ Electric ❑ Plumbing Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 7400 II Shutters ❑ Generator Sq. Ft. of First Floor: _ Utilities: ❑ Sewer D Septic F]Windows/Doors ❑ Roof Roof pitch Building Height: Name WAYNE & LINDA ORR Name: DON MIRANDA Address: 8603 SALERNO ROAD Company: MIRANDA PLUMBING & AIR CONDITIONING City: FORT PIERCE State: FL Zip Code: 34951 Fax: Phone No. E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Address: 750 NW ENTERPRISE DRIVE - SUITE 100 City: PORT ST LUCIE State: FL Zip Code: 34986 Fax: Phone No. 772-878-5123 E -Mail: alopez@mirandacompanies.com State or County License: CAC1815486 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. ff-16101- --- - - -- -- '��urnn�••. -. Z. .xlP > • .: ` r. � .. rP,. Sr./ b �� .a �`.` Y � k -i" '= S aN�7}.' ^£'Pff� 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: 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 County makes no representation that is granting a permit will authorize thepermit 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 comme4iking work or recording our Notice of Commencement. Signaturgdf Owner/ Lessee/Contractor as Agent for Owner Slgnatu eContractor/License Holder _RfSTATE OF FLORIDA COUNTY OF ;7. I-- L 1:71,1 L= STATE OF FLORIDA COUNTY OF . The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 3_ day of bd-t- 1201) by this al day of 1S c f 20/) by Name of person making statement Name of per on making statement Personally Known _ OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced '�Z' L:oir12 (Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida ) Commission No. jSeal) Commission No. CAC I t?-,! f148. G(Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/_�,(t .7�, LOO Diodeit0 ��V;$ Lod Dio M '' ms's COrnmiSSilM;lf GG06@1S8 s �1 a Expires: Feb. 9, 2021 � �,� Cotnrnission i tiG068258 ices Feb. 9, 2021 ff-16101- --- - - -- -- '��urnn�••.