HomeMy WebLinkAboutHellstromAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/4/2019
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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 Number:
Building Permit Application
PERMIT TYPE: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Commercial Residential xxx
Address: 8824 Bally Bunion RdPort St Lucie, FL 34986
Property Tax ID #: 3334-600-0010-000-0
Site Plan Name:
Project Name: Hellstrom-Residence
DETAILED DESCRIPTION OF WORK:
Like for Like HVAC unit replacement 5 ton/14Seer110kw/Heat PumplGround/Garage
CONSTRUCTION INFORMATION:
Lot No.
Block No.
>�dditional work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank —Gas Piping — Shutters _ Windows/Doors
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 6785.00
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameAlexandra Hellstrom
Name: Don Miranda
Address: 8824 Bally Bunion Rd
Company: Miranda Plumbing & Air Conditioning, Inc.
City: Port St Luice State: _
Zip Code: 34986 Fax:
Phone No.772-336-7463
Address:750 NW Enterprise Drive
City: Port St Luice State: FL
Zip Code: 34986 Fax: 772-621-2885
Phone No772-878-5123
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 CAC1 815486
If 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.
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 cerl:4 that no work or Installation has commenced prior to the issuance of a permit.
St. Lucie County mattes 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 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 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
WARDING 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 inspection. If you Intend to obtain financing, consu e,,��orney before
co T nencl ortc or recorcnrr ur Notice of Commencem F-_
Slgnat re'of:Owner/ Lessee/Agent 1� �L4 j�.
Signature of Contr or/License i-lolder .
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STATE OF FLORI ,� � X
STATE OF FLOIi W r' �
cOl1IVTY O - = u��
COl3ny OF - c
The forgoing Instrument was acknowledged before rd a
The forgoing instrument was acknowledged before m
this day of 20 L, by 'Z
this day of —k 20 t `= by s 2
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a
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MV'A
(Name f person acknowled Ing) `'.�
(Name of rson acknowledging }
NFn+rFr
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. A�"oiiil�lil
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(signature of !votary Public- State of Florida)
( *nature of N taryt Public- State of Florida)
Personally Known t✓ OR Produced Identification
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Personally Known !.---_" OR Produced identification
Type of Identification Produced
Type of Identification Prod�uTced_.
Commission No. 11 (Seal)
Commission No.`7 . 0 (seal)
Revised 07/15/ZO14
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