HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9/16/2019
Permit Number:
COUNTY
F t D R I P A- I
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 TYPE: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 3775 Satinwood Ct
Property Tax ID #: 3425-703-0171-000-1
Site Plan Name:
Project Name: Brooks Residence
Building Permit Application
Commercial Residential xxxx
DETAILED DESCRIPTION OF WORK:
Like for Like Goodman Package unit replacement 3 ton 10 kw 14 seer. ground
CONSTRUCTION INFORMATION:
Lot No.
Block No.
Add'tional work to be performed under this permit — check all that apply:
llechanical _ Gas Tank _ Gas Piping — Shutters Windows/Doors
_ Electric T Plumbing — Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 6318.00
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Ronald Brooks
Name: Don Miranda
Address: 3775 Satinwood Court
Company: Miranda Plumbing & Air Conditioning, Inc.
City: Fort St Lucie State: _
Zip Code: 34952 Fax:
Phone No. 772-344-0325
Address:750 NW Enterprise Drive
City: Fort St Lucie 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 License CAC1815486
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: _ Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Address:
City:
Zip: Phone:
Zip: Phone:
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.
St. Lucie County makes 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
"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 BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
R LENDER OR AN TfORNEY BEFORE RECORDING YOUR-N LICE OF - COr-4 MCEMENT."
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFstr.Gfe
COUNTY OFStLUae
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this •1- day of d- ,x 20 .T by
this is day of h 20_�J by
DON i MIRANDA
Don J Miranda
Name of person making statement.
Name of person making statement.
Personally Known — OR Produced Identification
Personally Known — OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public- S t e of Florida }
e ll'Lprf Diodato
(Signature of Notary Public- � of Florid )
� . e'--, �.orl Diodit
`,
Commission Na. =?� �' � C0I0Mi3$iDt3 # GG069258
Commission No. - �� COm�p m GGOfi92 $
Expires Feb. 9, 2021
-y' Expires: r¢b. 9, 2021
f4, h , r Notary
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Rev. 2/7/19