HomeMy WebLinkAboutPermit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/7/2018 Permit Number:
z:
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 0
PROPOSED IMPROVEMENT LOCATION:
Address: 7701 White Egret Lane
Legal Description: EAGLE'S RETREAT AT SAVANNA CLUB PHASR 2 (PB 43-21) BLK 63 LOT 17 (OR 3741-893)
Property Tax ID 4: 3424-702-0178-000-4
Site Plan Name:
Project Name:
Setbacks Front Back
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Like for Like A/C Package unit replacement
14 Seer-10kw-4 Ton -exterior
Lot No._
Block No.
CONSTRUCTION INFORMATION:
Additional war to�ir orme un er t is permit — c ec a appy:
HVAC Gas Tank []Gas Piping _ Shutters Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 4985.00
S�Ft.I of First Floor: _
Utilities: LJ Sewer 0Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Richard Thomas
Name: non Miranda
Address: 7701 White Egret Lane
Company: Miranda Plumbing & Air Conditioning, Inc.
City: Port S tLucie State:FL
Zip Code: 34952 Fax:
Phone No.
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 Holder on next page ( if different
from the Owner listed above)
E -Mail: Ldiodato@mirandacompanies.com
State or County License:
-..............,...,.. ,.....,.....� 3,- Vw — 111v1 cp a F%E%-% nLJrLJ motive or %-ommencement is requirea.
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, cult wtFrllr'tte attorney before
c me cing or or s�ording your Notice of Commenceclp"nt.1
Signature of Owner/ Agent/ Lessee
STATE OF FLORIDA
COUNTY OF 15�; - C_0 �—__ t C
The forgoing instrument was acknowledged before me
this =day of 20 igby
(Name qf'person
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. lFfgy 9 ` - (Seal)
Revised 07/
REVIEWS
COMPLETE
INITIALS
Commission # FF945187
Expires: November 19, 2019
re of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF ST-. Cry t
The forgoing instrument was acknowledged before me
this day of 20y by
(Name of
,.#erson acknowledging)
ature of Notary Public- State of Florida )
Personally Known .c OR Produced Identification
Type of Identification Produced
Commission No.�.� sv:,� ,Seal)
Commission # F645187
E*res: November 19, 2019
COUNTER I R�ViI W _ 5 REVIEWPERVISOR I RELVIIEW ANI VREVIEWON I SATURTANGRO
REVEWLE � �REVIEWVE
MORTGAGE COMPANY:
Not Applicable
Address:
Address:
City:
Zip: Phone:
State:
City:
State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY:
Applicable
Name:
Name:
_Not
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 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, cult wtFrllr'tte attorney before
c me cing or or s�ording your Notice of Commenceclp"nt.1
Signature of Owner/ Agent/ Lessee
STATE OF FLORIDA
COUNTY OF 15�; - C_0 �—__ t C
The forgoing instrument was acknowledged before me
this =day of 20 igby
(Name qf'person
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. lFfgy 9 ` - (Seal)
Revised 07/
REVIEWS
COMPLETE
INITIALS
Commission # FF945187
Expires: November 19, 2019
re of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF ST-. Cry t
The forgoing instrument was acknowledged before me
this day of 20y by
(Name of
,.#erson acknowledging)
ature of Notary Public- State of Florida )
Personally Known .c OR Produced Identification
Type of Identification Produced
Commission No.�.� sv:,� ,Seal)
Commission # F645187
E*res: November 19, 2019
COUNTER I R�ViI W _ 5 REVIEWPERVISOR I RELVIIEW ANI VREVIEWON I SATURTANGRO
REVEWLE � �REVIEWVE