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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 12/13/2018 Permit Number: "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 xxxxx PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: 7935 Plantation Lakes Drive Legal Description: RESERVE PLANTATION -PHASE I- LOT 46 (OR 503-1669) Property Tax ID #: 3321-801-0046-000-8 Site Plan Name: Project Name: Colina -Residence Setbacks front Back: DETAILED DESCRIPTION OF WORK: Right Side: Left Side: Like for Like A/C System replacement: 2nd floor bedroom 2 ton, 15 Seer, 8 KW Horizontal Lot No. Block No. CONSTRUCTION INFORMATION: Additional work tojeer orme under t is permit - c ec a appy: HVAC I _I Gas Tank Gas Piping _ Shutters Windows/Doors 11 Electric © Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: Cost of Construction: $ 5320.00 Sq. Ft. of First Floor: Utilities: 0 Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Romeo Colina Name: Don Miranda Address: 7935 Plantation Lakes Drive Company: Miranda Plumbing & Air Conditionin, Inc. City: 'Port St Lucie State:Address: Zip Code: 34986 Fax: _ Phone No. 772-475-6700 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.corn State or County License: CAC1815486 11 value ui wnsuucuon is ;)iavv or more, a Ktwrcutu Notice or commencement is required. Name: •—,uvz Mppncal,le ,4ddressl City: ZIP' Phone: State, NotAppficahle Address: city: _ Zip; phone: MORTGAGE COMPANY:....... Name; ._.._ Not Applicable Address: City: Zip:State ----_, � Phone; Name: ._ .NUL Applicable Address: City: Zip:_ Phone: i I certify that no work or Installation has commenced prier to tlse issuance of a permit. St, Lucie Count�yr makes no representation that Is granting a permit will aothoriz� the ermit holder to build the which is In leasllet with any applicable Dome Owners Association rules, bylaws or andpco streacture, Please consult with your Horne Owners Association znd review your deed far any restrictions which ��rr venatsts that may restrict Qtr p ly,. t s ch In consideration at the granting of this requested pel-mlt, I do hereby agree that I will, In all respects, Perform In accordance with the a may apply.. approved plans, the Florida Building Codes and St. Lucie County Amendmentsthe work The following building permit appflcat9ons are exempt from undergoing a full concurrency review: room accessory structures, swimming pools, fences, walls, signs, screen roams and accessory uses to another non-resid WARNING To OWNER.- Your failure to Record a NoVcL of Commencerwent may additions, irnprovemertts to year prope�y. A Notice caf Carrs entlal use Eaefore rnencement must be recorded and your d oangthe,Jobs to #first ins ectic�n. if you intend to oi�talrs financing, consul C° enci r or recur i ur notice cf Commencem _attorney before -15,la—tor.uwnerf Lessee/Agent STATE OF FLORIDA , CEtUA1Tl �F The fooing instrument was acknowledged before n this day of C�� -� 20 Eby c� ,IVBtrte f peCson aCCCrlawldelna= I_ A�N511f1�1,,r of Notary Public- state of Personally Known �- . Type of Identification Frcrd �pradatced Identification Commsssion IVo.1 `a (Seal) Revised REVIEWs FRONT Z0NING COUNTER REVIEW SUPERVISOR BATE REVIEW CDM P LETE INITIALS STATE OF FLORIDA COUNTY OIF ja'' The (dforgoing. this n . ument was acknaw#edged before m d i day af�_c, -7 by 72 ,ti -d f Name of D�rsnn ar[rnns..� r_ '� 9 of l Publics state of Florida Personally Known OR produced Identification Type of Identification Produced Commission No. Seal) PLAINS VECET�TIOIV SEA TURTLE – –� REVIEW REVIEW REV(I"W MANGROVE REVIEW