HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 04/23/2018 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
X
PERMIT APPLICATION FOR: Mechanical 11 1
Address: 9450 MEADOWOOD DRIVE # 104
Legal Description. QUAIL RUN VILLAGE BLDG 3 UNIT 104 (OR 1064-1191)
Property Tax ID #: 1327-703-0028-000-7
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
LIKE FOR LIKE A/C REPLACEMENT: SEER 14 / GROUND /7.5 KW / 3.5 TON
HVAC
❑ Electric
F]Plumbing Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 6926.10
Name Michael Dolan
II Shutters
Generator
SFt. of First Floor: _
Utilities: Sewer Septic
Address:9450 Meadowood Dr.
City: Fort Pierce State:FL
Zip Code: 34951 Fax:
Phone No. (772) 464-5926
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Don J Miranda
Lot No.
Block No.
aWindows/Doors
Roof Roof pitch
Building Height:
Company: Miranda Plumbing & air
Address: 750 NW Enterprise Dr.
City: Port Saint Lucie
Zip Code: 34986 Fax:
Phone No. 772-878-1523
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.
State: FL
DESIGNER/ENGINEER: +Not Applicable
MORTGAGE COMPANY: Applicable
Name:
_Not
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: — Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
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 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
comm --work or recording our Notice of Commence t.
Signature of Owner/ Agent/ Lessee
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF - L_ L/ G 1 C
STATE OF FLORIDA
COUNTY OF ST•
The forgoing instrument was acknowledged before me
this ? day d L
The forp�oing instru erit was acknowledged before me
this � qday 1
z of 20 !S by
of 20it3by
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(Name person ackno ledging)
(Name ofperson acknowledging)
(Signature of Notary Public- State of Florida)
gnature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification Produced
Type of Identification Produced
Commission No. FIFRySier:� , (Seal)
Commission No. E`P,�`� ��i v Seal)
Nicola McMahon
will III ule McMahon
V,
Revised 07/iz '��'= Commission # FF945187
�'= Commission # FF945187
ices: November 19, 201
9 Expires. November 19, 2019
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PLANS VEGETATION SEA TURTLE MANGROVE
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DATE
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INITIALS