HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 Permit Number:
Sam
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: 228 Mangrove Bay Place
Legal Description: TROPICAL ISLES (OR 2786-2163) UNIT L-04
Property Tax ID 4: 3410-508-0300-000-0
Site Plan Name:.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Like for Like Package Unit Replacement
3 TON/8KW11 4 SEER/GROUND
Lot No.
Block No.
CONSTRUCTION INFORMATION:
Additional work to nGasTank
orme un er t is permit - c ec a appy:
HVAC Q Gas Piping Shutters r
_ Doors
Q Windows
® Electric Q Plumbing Sprinklers Generator Q Roof O Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 4600.00
SFt. of First Floor:
Utilities:ff ewer Oseptic
Building Height:
OWNER/LESSEE:
CONTRACTOR;
Name Tropical Ilses Co-op Inc.
Name: Don J Miranda
Address: 281 Tropical Isles Circle
Com an Miranda Plumbing & Air Conditioning, Inc.
Compy
City: Fort Pierce State:
Zip Code: 34982 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 Halder on next page ( if different
from the Owner listed above)
E -Mail: Ldiodato@mirandacompanies.com
State or County License: CAC1815486
n valuc u1 4 11-1—tiu l m ?cavu or more, a Kr_t U su1;u Nonce OT Lommencement is required.
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DESIGNER/ENGINEER:
� Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name:
PLANS
Name:
—
Address:
Address:
REVIEW
City:
State:
City:
State:
Zip: Phone:
DATE
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY:
Not Applicable
Name:
COMPLETE
Name:
Address:
Address:
City:
INITIALS
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, consult with lender or an attorney before
c9�work or recording your Notice of CornmeaGe;nc
Signature of Owner/ Agent/ Lessee
STATE OF FLORIDA
COUNTY OF 4 - L_ J C_ t C_
The forgoing instrument was acknowledged before me
this i day of 20 +S3 by
00 N -0
(Name person ackno4edging }
(Signature of Notary Public -State of Florida )
Personally Known X OR Produced Identification
Type of Identification Produced
Commission No. _''f= gl;4S I � 3- _, (Seal)
Revised 07/1 i '" Commission # FF945187
"= Expires: November 19, 2019
of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this day of 2(}�vby
(Name of person acknowledging)
ure of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. F`-}7�� ..Seal)
Commission # FF945187
Expires: November 19, 2oi9
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REVIEWS
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ZONING
SUPERVISOR
PLANS
VSEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
7REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS