HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4130/2019 Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 fax: (772) 462-1578 Commercial Residential XXX
PERMIT TYPE: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 123 Queens Road
Property Tax ID #: 1414-701-0195-000-9 Loi No.
Site Plan Name: Block No
Project Name: Marcello -Residence
DETAILED DESCRIPTION OF WORK:
Like for Like AJC System replacement
Vertical -15 Seer- 10 KW- Ground 4 –re �
CONSTRUCTION INFORMATION:
i
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: Sq. Ft. of First Floor:
Cost of Construction: $ 2-`I • a Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameAnthony Marcello Name -Don Miranda
Address: 123 Queens Road Company: Miranda Plumbing & Air
City: Fort Pierce State: _ Address: 750 NW Enterprise Drive
Zip Code: 34949 Fax: City: Port St Lucie State: FL
Phone No. 772-468-2250 Zip Code: 34986 Fax: 772-621-2885
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.
If value of MVAC 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:
Zip: Phone:
I certify that no work or Installation has commenced prior to the issuance of a permit.
St. Lucie County make no representation that 1s 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 and covenants that 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 I will, In ail respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit appllcations 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 ins ection. if you intend to obtain financing, consJutAv#Mender n attorney before
co enci r c or recor Lur Notice of Comrnencern
Signature of;Owner/ Lessee/Agent ,
STATE OF FLORIDA t'
COUNTY OF'
a;
The forgoing Instrument was acknowledged before nw.s?,2 zaa
this S4'y day of f, 20 !` by �g M
- `��4451ENU/{f
(Narnepf person acknowledging) A A � y,
tzignature or rotary Public State of Florida ) -
Personally Known �OR Produced Identification
Type of Identification Produced
Commission No.)S��-7 (Seal)
Revised 07/15/2014
REVIEWS I FRONT I ZONING COUNTER REVI W S REVIEW
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COMPLETE
INITIALS
Signature
STATE OF FL®l;;
COUNTY OF r - C
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The forgoing instrument was acknowledged before m,
this day of 20 by
a L
y
2
(Name of ggrsan acknowledging )
of Nbtary Public- State of Florida)
Personally Known AOR Produced identification
Type of Identification Produced
ComMIssion No. lE , dI {5eaij
REVIEW VEGETATION
I S REVIEW I MANGROVE