HomeMy WebLinkAboutbuilding permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/2/2018 Permit Number:
1_'IJ #_
•
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: 7603 Georges Road Fort Pierce, FL 34951
Legal Description: LAKEWOOD PARK-UNIT 2-BLK 15 LOTS (MAP 13/11S)(OR 1472-971 1927-2921)
Property Tax ID#: 1301-602-0098-000-8 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Like for Like A/C Replacement 14 seer, 5 kw, 3 ton, Vertical (closet)
LC_ONSTRUCTION INFORMATION;
Additional work to be rformed er this permit m check all apply:
�HVAC Gas Tank a Gas Piping _Shutters Windows Doors
Electric Plumbing Sprinklers Li Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction: $ 5803.00 Utilities:Sewer E]Septic Building Height:
OW NERAESSEE: CONTRACTOR:
NameTrevor Irish Name: Don Miranda
Address:7603 Georges Road Company: Miranda Plumbing &Air Conditioning
City: Fort Fierce State:FL Address: 750 NE Enterprise Dirve
Zip Code: 34951 Fax: City: Pork St Lucie State:FL
Phone No.772-323-1811 Zip Code: 34986 Fax: 772-621-2885
E-Mail: 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
L.
If value saf construction is$2500 or more,a RECORDED Notice of Commencement is required.
Wig'J "(fa ry a✓ 4ut �a a _ s rw '" �
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ERNE
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: — -- 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 Nome Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Horne 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, co suit w -e eT-or-.an attorney before
c me cingQr5-r-F6-r-rerprding your Notice of Commence ent.
Signature of Owner/Agent/Lessee SigihatGre of Contractor/license Holder
STATE OF FLORIDA �- STATE OF FLORIDA
COUNTY OF COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this?day of .:..,<° , 20 by this "? day of i 20_0by
(Name person ackno ledging) (Name of erson acknowledging)
(Signature of Notary Public-state of Florida)
gnature of Notary Public-State of Florida)
Personally Known_s)_OR Produced Identification Personally Known =,.F OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. 8l- ,, (Seal) Commission No. JFF� '`:35, _. Seal)
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Commission # $a$7
Revised 0711 Commission I
ices:November A 2Q19 . ;: Expires:November 19,2019
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REVIEWS YN'r ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS