HomeMy WebLinkAboutKIRBYLOOPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: (-' . ' el Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xxx
PERMIT TYPE: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 3507 Kirby Loop RD
Property Tax ID #: 2420-342-0014-000-8 Lot No.
Site Plan Name: Hall- Residence Block No.
Project Name: Hall- Residence
DETAILED DESCRIPTION OF WORK:
Like for Like HVAC System replacement -14 Seer-8kw-3.5 ton -vertical -ground
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: ___.
Cost of Construction: $ 6775.00
Generator
Sq. Ft. of First Floor:
_ Windows/Doors
_ Roof Pitch
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Bertha L Hall
Name: Don Miranda
Address:3507 Kirby Loop RD
Company: Miranda Plumbing & Air Conditioning, Inc.
City: Fort Pierce State: _
Zip Code: 34981 Fax:
Phone No. 772-577-9573
Address:750 NW Enterprise Drive
City: Port St Luice 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 LicenseCAC1815486
If value of construction is $2500 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.
Dame•
Address:
City: State:
Zip; Phone:
FEE SIMPLE TITLE MOLDER: Not Applicable
Name:
Address;
City.
Zip: Phone:
MORTGAGE COMPANY, Not Applicable
Dame,
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.
5t. Lucie Counttyy makes no representation that Is granting a permit will authorize the ermit 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
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 first Inspectlon. If you Intend to obtain financing, consu e4ei`et-` n�attorney before
Co encl __r or recor i ur Notice of Commenceme� \
:_.°Sighature�of'Owner/ Lessee/Agent
STATE OF FLORIDA s � � �
COUNTY OF5.
The forgoing Instrument was acknowledged before n Q
this day of _44 _ �t 2._
�}0,j,..� by � �;a
person
'(Signature of Notary Public- State of Florida )
Personally Known L-�pP Produced Identification
Type of identification Produced
Commission No-;-E L I (seal)
Revised 07/15/2014
REVIEWS I FRONT � zoNiNC
COUNTER REVIEW
COM P LETE
INITIALS
tense riower
STATE OF FLOR
COUNTY OF L
r
The forgoing instrument was acknowledged before m,
this ,i day of _" `^ "# 20 j � by
(Naive of rson acknowledging)
( gnlature of Ed tary Public- State of Florida)
''�3+�ru���`
i,
Personally Known ..r OR Produced Identification
Type of Identification Produced
Commission No. Feet S_ (Seal)
SUPERVISOR
I PLANS j REVIEW VEGETATION REVi W$ REVIEW MANGROVE
REVIEW