HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
J��.�Date: i ) Permit Number:
o
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax. (772) 462-1578 Commercial Residential xxx
PERMIT TYPE: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 8501 Viburnum Court
Property Tax ID #: 3425-703-0085-000-1
Site Plan Name:
Project Name: Reaver-Residence
DETAILED DESCRIPTION OF WORK:
Like for Like Goodman Package Unit Replacement
4 Ton-14 Seer 10 kw, 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: $ 4988.00
_ Generator
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic
OWNER/LESSEE:
CON
NameJoyce A Reaver
NamE
Address:12 Pleasant Ave
ComF
City: Westhampton State:
Addre
Zip Code: 11977 Fax:
City:I
Phone No. (757) 619-6774
_
Zip Cc
E-Mail:
PhonE
Fill in fee simple Title Holder on next page ( if different
E-Mai
from the Owner listed above)
State
Lot No.
Block No.
— Windows/Doors
— Roof Pitch
Building Height:
TRACTOR:
• Don Miranda
any, Miranda Plumbing & Air Conditioning, Inc.
ss:750 NW Enterprise Drive
'art St Lucie State: FL
de: 34986 Fax:
No 772-878-5123
Ldiodato@mirandacompanies.com
)r County License CAC1 815486
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name: CARROLL J. MONTGOMERY
Address: 6504 DORIS DR.
City: FORT PIERCE
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address: 750 NW ENTERPRISE DRIVE
City:
Zip: Phone:
x Not Appli
State.
— Not Applicable
MORTGAGE COMPANY:
Name: GEORGE M_ HAND
Address: 6504 DORIS DRIVE
City: PORT ST.LIJGIE
Zip: Phone:
BONDING COMPANY:
Name: —
Address:
City:
Zip: Phone.
— Not Applicable
State:
Not Applicable
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
which is inoconflict with any applicablelHome aOwners Asssong ciationl rules,aby bylaws or andpcovenantss that build
of prohibitsuch
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 the first inspection. If you intend to obtain fin ng, consult -with -leader r an attorney before
com �rcord-i� our Notice of Comm cement.
Signature of Owner/
STATE OF FLORIDA
COUNTY OF ST. LUCc
ctor as Agent for Owner
The forgoing instrument was acknowledged before me
this Z`) day of Ate=. ZO ; , by
GEORGE M. HAND
Name of person making statement
Personally Known X OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- 77 11 Iorida
1 Lori Diodatp
Commission No. FE945167 =�c �_ LRe a ISSIOn # GG08 925$
pIr Feb. $, 2021
,� Bonded thru Aaron Notary
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
Signature of Contractor LlceRs� e._Holder
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this day of A ii 5 , 20 � 9g by
Name of person making statement
Personally Known '� OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of Fi Loii DiDda
Commission No. = �Xl,)Commission # GI
Expires: Feb. !
Bonded thru Aar(
SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW