HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 04/30/2018 Permit Number:
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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) 462-1518 Commercial Residential X
PERMIT APPLICATION FOR: Plumbing EL
P,RIG, 1EAT
'2799 CAf_C (`T
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Legal Description: SAVANNA CLUB PLAT THREE (OR 2018-1312)
Property Tax ID #: 3425-703-0264-000-0 Lot No. 7
Site Plan Name: Block No. 26
Project Name`
Setbacks Front Back: Right Side: Left Side:
LIKE FOR LIKE WATER HEATER REPLACEMENT - 30 GALLON/ ELECTRIC / DINING ROOM AREA
Additional work to be ertormea under
❑HVAC Gas Tank
Electric Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 1369.04
s permit - check all ti3at apply:
Gas Piping _ Shutters
Sprinklers F]Generator
Sq. Ft. of First Floor: _
Utilities: []Sewer[] Septic
aWindows/Doors
Roof Roof pitch
Building Height:
Name JOHN HETZEL
Name: DON MIRANDA
Address: 3765 SAGE CT
Company: MIRANDA PLUMBING & AIR CONDITIONING
City: PORT ST LUCIE State: FL
Address: 750 NW ENTERPRISE DRIVE
Zip Code: 34952 Fax:
City: PORT ST. LUCIE State: FL
Phone No. (772) 343-9998
Zip Code: 34986 Fax:
E -Mail:
Phone No. 772-878-5123
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: CFC1427227
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: tate:
Zip: Phone:
Zip: Phone:
I
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 isgranting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws that
or and covenants 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 Noti a of Commence t.
Signature of Owner/ Agent/ Lessee
Signature of Contractor/License Holder
STATE OF FLORIDA` - �J 1 _-
COUNTY OF
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 50day of APF 1L_ 20 !s by'
this day of A�'�-1 t— 20�r3by
(Name person ac no ledging)
(Name of erson 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. ce, "+ ,� (Seal)
Commission No. i�F `a �� � ,Seal)
Nicolle McMahon
Revised 07/1 = Commission # FF94 187
19, 019
Commission # FF945187
=• Expires: November 19, 2019
ExpireS: November
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REVIEWS �f`C'11NZONING SUPERVISOR
PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS