HomeMy WebLinkAboutBUILDING PERMIT ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 715/2018 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)462-1578 Commercial Residential xxxx
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION
Address: 9316 Scarborough Court
Legal Description: PODS 12 AND 13 PUD 1 AT THE RESERVE SCARBROUGH ESTATES(PB 45-13)LOT 12(OR 2970-2910;3646-2958
Property Tax ID##: 3322-507-0017-000-6 Lot No.
Site Plan Name: Block No.
Protect Name: Smith Residence
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
like for like A/C Replacement, 2 ton, 16 seer, 5kw,- vertical/ground
CONSTRUCTION INFORMATION:
Additionalwor to e er orme un er f is permit—c ee a app y:
0HVAC Ei Gas Tank Gas Piping _Shutters Windows Do/ ors
11 Electric 0 Plumbing Sprinklers El Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction: $ 5841.00 Utilities:Cn Sewer O Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Dave Smith Name: Don Miranda
Address:0316 Scarborough Court Company: Miranda Plumbing &Air Conditioning
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City: Port St Lucie State:fl Address: 750 NW Enterprise Drive
Zip Code: 34986 Fax: City: Port St Lucie State:fl
Phone No.314-422-2761 Zip Code: 34986 Fax: 772-621-2885
E-Mail:dsmith@hunter.com Phone No. 772-878-5123
Fill in fee simple Title Holder on next page( if different E-Mail: Ldiodato@mirandacompanies.com
from the Owner listed above) State or County License: CAC1815486
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: Not 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:750 NVV ENTERPRISE DRIVE Address:
City: City:
Zip: Phone: Zip: Phone:
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 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
corrigy!Agrig work or recording our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signatu e J Contractor/License Holder
STATE OF FLORIDA ti -- STATE OF FLORIDA
COUNTY OF Cr L(f—1 Q COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this__day of _ 20.. by this,,. _day of t ,20! by
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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 I
Commission NoG—0(° Commission No. �C �?lv �- (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLAINS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8 1 CO(11tritS6`t DiodatOo .'�%/� LOd Diadato
58
irm Feb. $, 2021 _ comm�ion#GG06m
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