HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02/27/2018 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
PERMIT APPLICATION FOR: Mechanical
Address: 5700 PALMETTO DR
Legal Description: INDIAN RIVER ESTATES - UNIT 06
Property Tax ID #: 3402-607-0156-000-4
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
LIKE FOR LIKE AC REPLACEMENT: 15 SEER / 7.5 KW / GROUND 12.5 TON
X
Lot No. 3 & 4
Block No. 20
❑✓_ HVAC
❑ Electric
❑ Plumbing Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 5260.00
Shutters
Generator
S Ft. of First Floor: _
Utilities:[]Sewer 0Septic
Name CAROL GRAY
Address: 5700 PALMETTO DR
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No. (772) 293-1932
E -Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
❑ Windows/Doors
❑ Roof Roof pitch
Building Height:
Name: DON MIRANDA
Company: MIRANDA PLUMBING & AIR CONDITIONG
Address: 750 NW ENTERPRISE DR. # 100
City: PORT ST LUCIE State: FL
Zip Code: 34986 Fax:
Phone No.
E -Mail: alopez@mirandacompanies.com
State or County License: CAC1815486
IT value of construction is �iz5oo or more, a RECORDED Notice of Commencement is required.
ESIGNER/ENG INEER:
,_..cable
Name:
Address:
City: _ _ . -- -- State:
Zip: Phone
MORTGAGE COMPANY: _ Not Applicable
Name: _
Address:
City: State: _
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:
wv.,.Fni wI.I nr►t- I UK rarNUvII 1: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that noo work or installation has commenced prior to the issuance of a permit..
St.
Is In conflict with any representation
OwnerstAssociation rules abylaws or and covenants that may rthe estrict oJrprohibit 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
co�r ing work or recording your Notice of Commencement.
as Agent for Owner
STATE OF FLORIDA t
COUNTY OF
The forgoing instrument was acknowledged before me
this'' � day ofFe= (' ' jPki'� , 201e by
Name of person making statement
Personally Known _� OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of Florida )
Commission No. '.Seal)
Signature of Contracto`i
STATE OF FLORIDA
COUNTY OF
Holder
The forgoing instrument was acknowledged before me
this 01 day of loiK-Y , 209€3 by
fu"Q 1-4I tii7J4
Name of per on making statement
Personally Known OR Produced Identification
Type of Identification
Produced
:2
(Signature of Notary Public- State of Florida )
Commission No, ; (Seal)
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DATE
RECEIVED
DATE
COMPLETED
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Lori DWOO
Commission # GGOM
Expires: Feb. 9, 2021
Lod DW t0
Commission # GG=58
Expires: Feb. 9, 2021