HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/29/2019 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
PERMIT TYPE: McChnical
PROPOSED INPROVEMENT LOCATION:
Address: 7963 Popphill Lane Port St Lucie 34986
Property Tax ID #: 3327-709-0031-000-5
Commercial Residential xxx
Lot No.
Site Plan Name: Block No.
Project Name: Defalco-Residence
DETAILED DESCRIPTION OF WORK:
Like for like A1C Replacement
4 ton -14 Seer- 10KW-Vertical
CONSTRICTION INFORMATION:
Additional work to be performed under this permit– check all that apply:
Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
— Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Paul DeFalco
Name: Don Miranda
Address: 7963 Poppy Hills Lane
Company: Miranda Plumbing & Air Conditioning
City: Port St Lucie State: _
Zip Code: 34986 Fax:
Phone No.772-460-9690
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 Holder on next page if different
from the Owner listed above)
E -Mail Ldiodato@mirandacompanies.com
State or County License CAC1815486
It value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
I certify that no work or installation has commenced prior to the issuance of a permit.
st. i.ucie County snakes no representation that is granting a permit will authorize the ermit holder to build the subjects ruci ure
which Is In conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or pro obit 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 5t. 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 a first inspectlon. if you intend to obtain financing, consutx-lam attorney before
;_ Slgnature of -'Owner/ lessee/Agent
STATE OF FLORIDA t —;
COUNTY O�,�,__ --ts
The forgoing Instrument was acknowledged before rr e m
this day of -- - A 20 ' w byF Le
"
person
attire of Notary Public- State of Florida )
Personally Known L�OR Produced Identification
Type of Identification, Produced
Commission No.._ ilv' (Seal)
Revised 07/15/2014
STATE OF FLORJD4
COUNTY CIF - c ' U11:1 ACM
The forgoing instrument was acknowledged before m Z d
this n-� day of a ° ^ 20 ° `� by a21
of pdrson acknowledging)
of NRaN Public- State of Florida )
Personally Known tri QR Produced Identification
Type of Identification Produced r�
Commission No. `I Ci (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
-a.,.- .t 3 .tom an4.n .
DESlGNERjENGINE ER::
�[�' � n�
,y3�$..�. •'�ra. '_.. -?r.� � � °�"F'r�'��. ate.._. ..=�Y" :1�e. "ea.
MANGROVE
_ Not Applicable
MORTGAGE
COMPANY: � Not Applicable
Name"
REVIEW
Name:
REVIEW
Address:
DATE
Address:
City:
State:
City:
State:
Zip: Phone:
COM P LFTE
Zip:
Phone:
FEE SIMPLE TITLE FOLDER:
Not Applicable
BONDING COMPANY: Not Applicable
Name,
name,
Address:
Address.
City:
City:
Zip:
Phone;
Zlp: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
st. i.ucie County snakes no representation that is granting a permit will authorize the ermit holder to build the subjects ruci ure
which Is In conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or pro obit 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 5t. 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 a first inspectlon. if you intend to obtain financing, consutx-lam attorney before
;_ Slgnature of -'Owner/ lessee/Agent
STATE OF FLORIDA t —;
COUNTY O�,�,__ --ts
The forgoing Instrument was acknowledged before rr e m
this day of -- - A 20 ' w byF Le
"
person
attire of Notary Public- State of Florida )
Personally Known L�OR Produced Identification
Type of Identification, Produced
Commission No.._ ilv' (Seal)
Revised 07/15/2014
STATE OF FLORJD4
COUNTY CIF - c ' U11:1 ACM
The forgoing instrument was acknowledged before m Z d
this n-� day of a ° ^ 20 ° `� by a21
of pdrson acknowledging)
of NRaN Public- State of Florida )
Personally Known tri QR Produced Identification
Type of Identification Produced r�
Commission No. `I Ci (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COM P LFTE
INITIALS