HomeMy WebLinkAboutBuilding Permit ApplicaitonALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dat_. ) 114 08 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: 5714 PAPAYA DR
Legal Description: INDIAN RIVER ESTATES -UNIT 09- BLK 79 LOTS 8 AND 9 (MAP 34/12N) (OR 796-757: 2449-1348)
Property Tax ID #: 3402-690-0273-040-0
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side
Left Side:
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK. I
like for like a/c replacement
4 Ton, 19.5 Seer, 9 KW- Horizontal
CONSTRUCTION INFORMATION:
Add itional work to eener Orme under this permit— check all— appy:
HVAC I� Gas Tank E]Gas Piping _ Shutters Windows/Doors
11 Electric ❑ Plumbing Sprinklers ❑ Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 7359.00
SFt. of First Floor: _
Utilities:Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameShirley A Pompon (Dominic L Liberatore
Name: Don Miranda
Address: 5710 Papaya Drive
Company: Miranda Plumbing & Air Conditioning
City: Fort Pierce State:FL
Zip Code: 34982 Fax:
Phone No, 772-216-1630
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: dliberatore@bellsouth.net
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 OT construction 1s !>L5uu or more, a KLLUKDED Notice of Commencement is required.
tl
t ,
ZONING
SUPERVISOR
The forgoing instrument was acknowledged before m
DESIGN ER/ENG INEER:
Nat Applicable
MOIRTGAGE C�MIPANY:
Not Applicable
Name:
REVIEW
Name:
REVIEW
REVIEW
Address:
REVIEW
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:
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 theermit holder to bund the subject strucfdre
which is In conflict with any applicable Home Owners Association rules, bylaws or andcovenantsthat may restrict or prohiblt 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 roams and accessory uses to another non-residential use
WARNING TO OWNED: 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 lns Ion. if you intend to obtain financing, consu e e a�torney before
co encl r L oir recur i ur Notice of Cornrnencem
_Signature of Owner/ Lessee/Agent ;+
STATE OF FLORIDA
COUNTY OF.��
The forgoing Instrument was acknowledged before nj R
this "I day of _ -�s 20 !ft—by le
person
'(Signature of Notary Public- State of Florida ) -
Personally Known �OR Produced Identification
Type of Identification Produced
Commission No. t (seal)
Revised 07/15/2014
cense
sTATE OF FLOE
COUNTY OF �-'
t ,
ZONING
SUPERVISOR
The forgoing instrument was acknowledged before m
VEGETATION
this " day of 20 _I ` by
o
22
2 =
(Name of parson acknowledging)
ature of Wtary Public- State of Florida )
Personally Known i.! 011 Produced Identification
Type of Identification Produced
Commission No, ��7 � C�� (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS