HomeMy WebLinkAboutScanALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: t 2- i g 7
Permit Number:
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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: 157 Ocean Bay Drive Jensen Beach
Legal Description: OCEAN BAY VILLAS (OR 2627-1946) UNIT 157 (OR 4037-1205)
Property Tax ID #: 3522-608-0034-000-5
Site Plan Name:
Project Name: Parks -Residence
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Like for Like A1C System replacement-
s Ton HP,14 seer, 5 kw, Vertical, Ground
Lot No.
Block No.
CONSTRUCTION INFORMATION:
Add itional work toe er orme under this permit — check a appy:
HVAC FI Gas Tank OGas Piping _ Shutters Windows/Doors
11 Electric 0 Plumbing Sprinklers 11 Generator E]Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: S 6859.00
Sq. Ft. of First Floor:
Utilities: Sewer L1Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
NamePatricia Parks
Name: Don Miranda
Address: 157 Ocean Bay Drive
Company: Miranda Plumbing & Air Conditioning
City; Jensen Beach State:FL
Zip Code: 34957 Fax:
Phone No. 203-887-5204
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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Name-
Address.-
City:
ame:Addrress.-
City: state:
Zip: Phone'
MORTGAGE COMPANY: � Not Applicable
Name,
Address:
City, State:
Zip: Phone,
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: —NotApplicable
Name, Name'
Address: Address:
City: City:
Zip: Phone: Zip: Phone: - -. _--
1 certify that no work or Installation has commenced prior to the issuance of a permit.
St. Lucie Countv makes no represeritation that is granting a permit will authorize thepermitholder to build the subject structure
which is in conflict with any appiicaiioo3e Nome owners Association rules, bylaws or and covenants that may restrict or prohitalt 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, perforin 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, wails, signs, screen rooms and accessory uses to another non-residentlai 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 a first inspectian, if ou intend to obtain financing, consu #�--ie -Q.r.- attorne before
corny ncrr�worK or recorain uur Notice of Comrnenceme�� \ y _.
Sl:nature'of;Owner/ Lessen/Agent
STATE OF FLORIDAt a
COUNTY OF S! - L� t
The forgoing Instrument was acknowledgedbefore
this ` day of + �- ZO 6 by
AA�"C('Ln(i CA "111111)l
(Narnepf person acknowledging) „
(Signature of Notary Public- State of Florida )
Personally Known �DR Produced Identification
Type of identification Produced
Commission No.S '�/. —7 (Seal)
Revised 07/15/2014
cense
STATE Of FLO r r� 0"
COUNTY OF r - �- 'd' �•'
c
The forgoing instrument was acknowledged before m Z 2 n
this t "` day of ' 20 °' by p
OD -- ` p "M
(Name of pdrson acknowledging) n
re of N`Gtary Public- State of Florida )
Personally Known L.f�OR Produced identification
Type of Identification Produced
Commission No. '7 jSe0
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