HomeMy WebLinkAboutScanALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: c6VsV% Permit Number:
L.1MJ
qMln
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.
Address: 8608 Thompson Point Road
Legal Description: Tompson point pud at pga village (pb 43-10) lot 17 (or 3522-1491)
Property Tax ID #: 3327-704-0018-000-3
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Like for Like a/c system replacement -
1.5 ton/ 14 seer/ 5 kw/ Vertical -closet
Right Side:. Left Side:
Lot No.
Block No.
CONSTRUCTION INFORMATION:
Additional work to brtormea under this permit — c ec a appy:
e e
HVAC � Gas Tank 0Gas Piping _ Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator I Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 4367.00 utilities: Sewer nUSeptic Building Height:
OWNER/LESSEE;
CONTRACTOR:
NameCharles Coco
Name. Don Miranda
Address: 8608 Tompson Point Road
Company: Miranda Plumbing & Air Conditioning
City: Port St Lucie State:FL
Zip Code: 34986 Fax:
Phone No. 772-882-9602
Address: 750 NW Enterprise Drive
City: Port 5t 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
it value at construction is 57500 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:
Address:
City:
City:
Zip: Rhone:
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, cgi suit w�tt��
k deTr. n attorney before
c ime cine or or cording your Notice of Commencement, l \ \
Signature of owner/ Agent/ Lessee
STATE OF FLORIDA
COUNTY OF
The fo�oing instrument was acknowledged before me
this 1.', day of 20 i'gby
(Name gf'person
(Signature of Notary Public -State of Florida )
Personally Known -x. OR Produced Identification
Type of Identification Produced
Commission No. 1F'Fgg5 ) Sr:�- , (Seal)
Revised 071
REVIEWS
COMPLETE
INITIALS
Commission # FF945187
Expires: November 19, 2019
re of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF Je 1
Theforgoing instrument was acknowledged before me
this '19 day of >`_ _, 20__�F3by
(Name ofperson acknowledging)
of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. 6F-41j5_87L_ *Seal)
Commission # FF945187
Expires: November 19, 2019
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REVIEEATURTW MANGRO
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