HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE I)FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ► 1 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 xxx
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 5513 Deer Run Drive Fort Pierce 34951
Legal Description: Holiday Pines S/D-Phase 111-Lot471 and 472(1.13 AC)(Map14/07s)(or 1291-570)
Property Tax ]D#: 1313-502-0048-000-3
Site Plan Name:
Project Name: Willett Residence
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Like for Like A/C (Replacement- 2 ton /23 seer/ 8kw/ Vertical
Lot No.
Block No.
CONSTRUCTION INFORMATION:
Additional work to b rtormed under t ispermit- check a11 appy:
®HVAC Gas Tank Gas Piping Shutters Windows/Doors
11 Electric Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 6895.00
Sq. Ft. of First Floor: _
Utilities: 11 Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Steven Willett
Name: Don Miranda
Address: 5513 Deer Run Drive
Company: Miranda Plumbing & Air Conditioning, Inc.
City: Fort Pierce State:FL
Zip Code: 34951 Fax:
Phone No. 772-460-7708
Address: 750 NW Enterprise Drive
City: Port St Lucie State: FL
Zip Code: 34986 Fax: 772-621-2885
Phone No. 772-878-5123
E -Mail:
Fill in fee simple Title Halder 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.
DESIGNER/ENGINEER: Not Applicable
Name:
Address:..
City - - State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address: 750 NW ENTERPRISE DRIVE
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:.
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:_
Zip:
Phone:
vvsrrvcK/ WIM I KALI UK Alf-IUVIT: 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 thepermit 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
com in work or recording our Notice of Commencement.
5 1
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Sigrtatu � df Owner/ Lessee/Contrac"tar as Agent for Owner
Signatu eof Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this _f 2day of ,J— � 2015; by
The forgoing instrument was acknowledgedbefore me
this Q- day of `�� 20+ by
Name of person making statement
Personally Known OR Produced Identification
Name of per on making statement LL
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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Z(Signature
(Signature of Notary Public- State of Florida)
of Notary Pmac`ublic- State of Flor'da )
Commission No �. Jseal)
Commission No. {Seal)
REVIEWS FRONT ZONING SUPERVISOR
PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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