HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/26/2019 Permit Number:
•
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: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 133 Parliament Court
Property Tax ID #: 1414-701-0162-000-9
Site Plan Name: Henry -Residence
Project Name: Henry Residence
DETAILED DESCRIPTION OF WORK:
Building Permit Application
Commercial Residential xxx
Like for Like A/C System replacement -Straight Cool -15 seer- 8 KW -Garage/Ground
CONSTRUCTION INFORMATION:
Lot No.
Block No.
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: $ 7430.00
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Ralph Henry
Name: Don Miranda
Address: 133 Parliament Court
Company: Miranda Plumbing & Air Conditioning, Inc.
City: Fort Pierce State:
Zip Code: 34949 Fax:
Phone No. 609-226-6180
Address: 750 NW Enterprise Drive
City. Port St Lucie State:8
Zip Code: 34986 Fax: 772-621-2885
Phone N0772-878-5123
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
If value ur wrutruLtran is �cauu or more, a KtLUKUtu Notice of commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
Name: _
Address;
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: � Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY, � Not Applicable
Name:
Address:
City: State:
Zip, Phone: -- -
BONDING COMPANY: —Not Applicable
Name:
Address -
City:
Zlp: Prone;
I certify that no work or installation has commenced prior to the issuance of a permit.
5t. Lucie County make no representation that Is granting a permit will authorize the permit holder to build the subject structure
which Is in conflict with any applicable Home Owners Association rules, bylaws or andcovenantsthat may restrict or prohibit 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 l will, in ail respects, perform the work
in accordance with the approved plats, 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 a first lits ection. If you intend to obtain financing, consul et�lel�-er� attorney before
co enci r off• recon i ur Notice of Cornrnencem !
Signature of:Owner/ Lessee/Agent i0
STATE OF FLORIDA Q X
COUNTY OF kt: — E
The forgoing Instrument was acknowledged before r
this I day of 20 '' by �g
(Name pf person acknowledging) „ y
ature of Notary Public- State of Florida
Personally Known �E3R Produced identlfication
Type of IdentificationrrPrroduced 1
Commission No.L!— f (Seal)
Revised 07/15/2014
cense
STATE OF: FLOR
COUNTY OF � � - tom,
; : z,
ZONING
SUPERVISOR
The forgoing instrument was acknowledged before m
VEGETATION
t(h'is_ day of _ Zu by
Q o
—7—
;a
(Name of pdrson acknowledging
re of Nbtary Public- State of Florida )
Personally Known [. OR Produced Identification
Type of identification Produced -
Commission No, —r7 0 (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PIANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INI'T'IALS