HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02/12/2018
NT
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
PERMIT APPLICATION FOR: Mechanical
Address: 5931 FOXTAIL WAY
Legal Description: PALM GROVE S/D
Property Tax ID #: 3410-503-0228-000-6
Site Plan Name:
Commercial Residential X
Project Name:
Setbacks Front Back: Right Side
Left Side:
Lot No. 18
Block No. H
LIKE FOR LIKE A/C REPLACEMENT: SEER 14 / 2 TON / 5 KW / GROUND & CLOSET
aaitional work to be er orme un 11 e t Is permit - c
HVAC f Gas Tank ❑Gas Piping
Electric ❑ Plumbing OSprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 5396.00
Name PAUL CZAP
Address: 5931 FOXTAIL WAY
aiiapply:
MShutters
EGenerator
S Ft. of First Floor: _
Utilities:[ASewer 0Septic
City: FORT PIERCE FL
State: _
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
Li❑
QWindows/Doors
Roof Roof pitch
Building Height:
Company: MIRANDA PLUMBING & AIR CONDITIONING
Address: 750 NW ENTERPRISE DRIVE # 100
City: PORT ST LUCIE State: FL
Zip Code: 34986 Fax:
Phone No.
E -Mail: alopez@mirandacompanies.com
State or County License: CACI 815486
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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 Assoaation 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
com in work or recording our Notice of Commencement.
Slgrlaturedf Owner/ Lessee/Contractor as Agent for Owner Signatu a o� contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of _' �' A % 20 V16 by this _it"day of f;S' Ap_l, 2C c 3 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
(Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida )
Commission No. Commission No. (�A*C t t?-A `•�_ 481G(Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
DATE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
RECEIVED
DATE
COM001.4
PLETED
tev. 8/4!1%,, LOO Diodat0
�'1 Commission # GGO�YSi3 1 , Lor( Duo M
Ex'ires Feb. 8, 20x1 Z Commission # GG069258
'�1 Expires: Feb. 9, 2021