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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 1/2/2018 Permit Number: • 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 PROPOSED IMPROVEMENT LOCATION: Address: 3021 Indigo Bunting CTPort Saint Lucie, FL 34952 Legal Description: EAGLE'S RETREAT AT SAVANNA CLUB(PB 42-24)BILK 57 LOT 5(OR 4124-1609) Property Tax ID#: 3424-701-0068-000-7 Site Plan Name: Lot No. Project Name: Ross Resisence Block No. Setbacks Front Back: Right Side: Left Side: .DETAILED DESCRIPTION OF WQRI<: Like for Like Package unit Replacement 4 Ton-10KW-14 Seer-Ground CONSTRUCTION INFORMATION: itiana wor to e er orme un er t �s perm pp Y� ZHVAC Gas Tank DGas Piping 5hutters Windows/boars QElectric Plumbing Sprinklers Generator Roof O Roof pitch Total Sq. Ft of Construction: S . Ft.of First Floor: Cost of Construction:$ 5350.00 Utilities:11 Sewer OSeptic Building height: OWNER/LESSEE: CONTRACTOR: Name Richard A Rossioan M RossAdd Don Miranda Name: City: Port St L Indigo Bunting CT Company: Miranda Plumbing&Air Conditioning, Inc. City; Port St Lucie State:FL Address: 750 NW Enterprise Drive Zip Code: 34952 Port St Luice State:FL City: Phone No,772-408-7931 Fax: Zip Code; 34986 Fax: E-Mail: Phone No. 772-878-5123 Fill in fee simple Title Holder on next page( if different E-Mail: Ldiodato@mirandacompanies.com from the Owner listed above) State or County License: CAC1815486 if value of construction is$2500 or more,a RECORDED Notice of Commencement is required. DESIGNER ENGINE€R: .�.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 Naive' Nam'. 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 sructure which is in con ict with any applicable Home Owners Association rules,bylaws or andcovenants that may restrict or pro Iblt 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 first ins W nc . If you intend to obtain financing, consWtimith lef n attorney before co enci r c or recor t ur Notice of Commencem 5 -,Sigriatu of.'Ownerf Lessee/Agent �. Signature of Contactor/License ariLlcense Holder STATE OF FLORI A � x;� STATE OF F'LO r COUNTY OF COUNTY OF C C as w1a tT+aa' The forgoing instrument was acknowledged before The forgoing instrument was acknowledged before m this day of 20 —bY this day of ,24 by .Q E? (Name person acknowled ing j x Anf knowledging)— ' 0�1 .� 15ignature of Notary Public-State of Florida} taryr Public-State of Florida) Personally Known �OR Produced identification Personally Known i :: OR Produced Identification - Type of Identification Produced Type �ry Type of identification Produced_�f commission No. �l (seal) Commission iVo. °1� (Seal) Revised 07/1.5/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGf~TATIDN SEATi�RTLE h+IANGR©VE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW }7i:VlEtlil DATE COMPLETE iN1TlAl� .