HomeMy WebLinkAboutpermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ��z?21 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 XXX
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 8533 Viburnum Court
Legal Description: SAVANA CLUB PLAT THREE BILK 23 LOT 7 (OR 3310-2209)
Property Tax ID #: 3425-703-0091-000-6
Site Plan Name:
Project Name: Wallace Residence
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Like for Like PaeNge unit replacement 14 Seer 10 KW 4ton, exterior
Lot No.
Block No.
CONSTRUCTION INFORMATION:
Additional work toe er orme under this permit — check a appy:
HVAC 11 Gas Tank E]Gas Piping _ Shutters Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 4992.00
5Ft. of First Floor: _
Utilities:cnSewer ESeptic
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Robert Wallace
Name: Don Miranda
Address: 8533 Viburnum Court
Company: Miranda Plumbing & Air Conditioning
City: Port St Lucie State:F L
Zip Code: 34952 Fax:
Phone No. 508-264-2796
Address: 750 NW Enterprise Drive
City: Port St Lucie State: FL
Zip Code: 34986 Fax:
Phone No. 772-878-5123
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: LDIODATO@MIRANDACOMPANIES.COM
State or County License: CAC1815486
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
S1JPPl Eil'�I�Ti4LrC�i�S'-RUCTIQN LIEN AIIU INFORMATION `
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�.
DESIGNER/ENGINEER:
N of 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:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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
commix dng—work or recordiniz vour Notice of Commence t.
Signature of Owner/ Agent/ Lessee
STATE OF FLORIDA
COUNTY OF -`T-- t_J c t=
The forgoing instrument was acknowledged before me
this ) qday of J •, KJ t-- 20 IS by
(Name9,rperson ackrimyledging )
(Signature of Notary Public- State of Florida )
Personally Known .,� OR Produced Identification
Type of Identification Produced
Commission No. 'Ff'ggS I e-+ , (Seal)
Revised 07/1fi W Commissioli # FF945187
Expires: November 19, 2019
REVIEWS FRUKIT I ZONING
COUNTER REVIEW
DATE
COMPLETE
INITIALS
re of Contractor/ License Halder
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this 2--' day of .J„a e__ , 20',��by
j� H I ,'� f) R
(Name oferson acknowledging)
re of Notary Public- State of Florida )
Personally Known V OR Produced Identification
Type of Identification Produced
Commission No. `s-tgi.` ,Seal)
ac
Commission # FFS45187
Expires: November 19, 2019
SUPERVISREVIEWOR REVI W VREV EWON 1 5 REV EWEATURTLE IMANGRO
REV EWVE