HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: J 1 � ' I q _ Permit Number:
COUNT
F L D R 1 0 A
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: 10725 S Ocean Dr Unit 187
Property Tax ID #: 4511-501-0176-000-3
Site Plan Name:
Project Name: Bailey -Residence
DETAILED DESCRIPTION OF WORK:
Like for Like A/C Package Unit replacment
14 seer, 5 kw, 2,5 ton, Ground
Building Permit Application
Commercial Residential xxx
Lot No.
Block No.
I CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit —check all that apply:
Mechanical _ Gas Tank _ Gas Piping _ Shutters Windows/Doors
Electric _ Plumbing _ Sprinklers Generator _ Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 5996 Utilities: — Sewer _ Septic Building Height:
Pitch
OWNER/LESSEE:
CONTRACTOR:
NameJohn S Bailey
Name: Don Miranda
Address:10725 S Ocean Dr Unit 187
Company: Miranda Plumbing & Air Conditioning, Inc.
City: Jensen Beach State: _
Zip Code: 34957 Fax:
Phone No. 772-342-5518
Address:750 NW Enterprise Drive
City: Port St Lucie 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 CAC1815486
IT value or construction is 7pt5uu 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:
City: State:
Zip: Phone
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: T Not Applicable
Name:
Address:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
City:
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 ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING F COMMENCEMENT."
�s�.—r'J
iris
Si a of Owner/ Lessee/Contractor as Agent for Owner
atu tractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFSTLUGIE
COUNTY 0FSTLUCIE
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this day of _� r �� 20 by
this 4 day of + , 20_ i by
Don Miranda
Don 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
i
(Signature of Notary Public- State of Florida }
(Signature of Notary Publi ` { g y ,Florid
Commission # GG069258
GG069258 .� +�, ,,
Commission No. ,S .. t1�,.�5ea1) �Orl DlOdato
=� # GG0692
Commission No. sGGoss2sa �� '�_ �p'�;al�E�. 9, 2021
.IZ=
8
Commission
Bonded thru Aaron Notary
Bol
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Re—v. 2/7/19