HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
date: 07/11/2019
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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: Mechn ical
PROPOSED IMPROVEMENT LOCATION:
Address: 929 JACKSON WAY
Property Tax ID #: 1423 !1113 2=011132 0D 7 Lot No..
Site Plan Name: Block No.
Project Name: NofthcottmResidence
DETAILED. DESCRIPTION OF WORK:
Like for Like A/C System replacement
16 seer-1 6 Seer-7kw-Garage-wG o d '3
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CONST. RUCTION INFORMATION: �
Aitional work to be performed under this permit —check all that apply:
Mechanical _Gas Tank _Gas Piping � Shutters Windows/Doors
_
Electric
_Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 6234.00
0
OWNER/LESSEE:
_Sprinklers
Name Eugene NorthcottRoyce Northc tt
Address: 9590 Trenton Way
City: Stockton State:
Zip Code: 95212 Fax:
Phone No. 772111111111111111467-2437
Generator
Sq. Ft. of First
Ut0lities: SeWEEMEMMEMI
wer
E-Mail:
Fill fiSRM41ffl�ao��U� ��� �'Let Holder on next page if different
from 1�fCie C��,lpner �Sted ejh- coven�
Roof
Floor:
_Septic Building Height:
CONTRACTOR:
Pitch
Name: Don Miranda
Company: Miranda Plumbing & Air Conditioning, Inc.
Address.750 NW Enterprise Drive
City:ate.Port St Lucie StFL
Zip Code: 34986 Fax:
Phone No772-8785123
Eb=Mail Ldiodato@mirandacompanies.com
Stateorco ty License CAC1 815486
f value of eanstrruea6on 6s 2n,500 or r,�ore, a RECORDED Notice of Commencement is required.
f value of HVAC'ors $7,500 more, a RECORDED Notice of Commencement III is required.
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NGl1VEER. ,y,,,r Nod Applicable ��g������ ��SVl�k�b��� ,.w, Not Applicable
Name, Name,°VIM=
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City: State� C 1W t Vq; , State;
Zip. Phon�a Zia Phone:
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LE T 7 HOLDERrIj, IIII� Nut A 1,1:'Ca b le D�LUNDING COMPANYO Not Appl'Icable
Name; N amelA
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1 certify that no work or 'Install atian has commenced prior to the issuance of a permit.
St;. Lucle County makes no representation that is granting a permit W111 authorize the taernnit holder to build the subject structure
which is In con�tfct with any applicable Home Ow ers Association rules, bylaws or and covenants that may restrict or prohibit such
structure.. Please consult with your Name Owners Association and review your deed far any re r cl a S W Ic may apply.
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to 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 Flor'lda Building Codes and St,. Lucie County Amendments.
The followin,g bu'lldlntr permit applications are exempt from undem�►ng a fiuil concurr�ncy review: roam addit'ions,
accessory structures, swimming pools, fences, walls, signs, screen roams and accessary uses to another nono4residential use
4 WARM NG Q-WNERtca Votx fa6�ure to Recoral a Notille of Commencement may resuit in youv pay'6hng tvv*oce for
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improvements to your property., NoticeA of Commence ant mus
e or e fiat ins A. .ecion. �f you intend tca obfi�in �snancing, consL
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t be recorded and posted an the jobs'l"te
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Ucense Holder"'
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� The for��fn� inst�umen� was acknowledged before r� � � ,� {The forgoing instrument �n+as ackn�wiedgad before m
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this ffiffillimWVW
day of. 20 by � •r= 9'� this dally of , �!0 by
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Isnature of'No'tary Pu'bl"Is State of Florida }
Personaliy Known OR produced Identification
Type of Identification Produced �
Commission Noa�� t1�� (Sea1)
Revised 07/15/2014
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(Signature of Nbtary Publicp- State of Florida j ��'��,in i►+�``���
P e rs u n a I ly Known Ofi P ro d u ce d I d e ntl fl cati an
Type of Identification Produced
OPP"
Commission No. l)