HomeMy WebLinkAboutBuiding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11119/2019
COUNTY
FT I o R 1 r
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: 8500 TWIN LAKES TER 102
Property Tax ID #: 1327-704-0014-000-9
Permit Number:
Building Permit Application
Commercial Residential xxx
Lot No.
Site Plan Name: Block No.
Project Name: Rebuck-Residence
DETAILED DESCRIPTION OF WORK:
Like for Like A1C System Replacement 3 ton/15 seerM0 kw/Straight Cool/RoofNertical
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit– check all that apply:
_Mechanical _ Gas Tank T Gas Piping — Shutters —Windows/Doors
Electric — Plumbing _ Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 6035.00
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Michael Rebuck
Name: Don Miranda
Address:1025 SW Martin Downs BLVD Ste 104
Company: Miranda Plumbing & Air Conditioning, Inc.
City: Palm City State:
Zip Code: 84990 Fax:
Phone No. 772-878-5123
Address:750 NW Enterprise Drive
City: Port St Lucie State:fl
Zip Code: 34986 Fax: 772-621-2885
Phone N0772-878-5123
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 CAC 1815486
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:
Address:
City:
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, wails, 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 YOURIENDER OR AN ATTORNEY BEFORE RECORDINGOTICE OF ENCEMENT."
Si
STATE OF FLORIDA
COUNTY OFS1Lucie
ntractor as Agent for Owner
The forgoing instrument was acknowledged before me
this ti day of 20'5 by
Don Miranda
Name of person making statement.
Personally Known xxx OR Produced Identification
Type of Identification
Produced
{Signature of Notary Public- State �qFlorida J
Lod Diadato
Commission No. '� y�' sCo nmission # GG0694
; . Expires: Feb. 9, 2(
REVIEWS FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
tractor/License Holder
STATE OF FLORIDA
COUNTY OFscwQie
The forgoing instrument was acknowledged before me
this i—s day of ^" 20 by
Dan Miranda
Name of person making statement.
Personally Known xxx OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public-
mmission No.
a) Lori �Diodato
�'` Commission # GG01
low Feb.
,
Bonded thru Aaron f
SUPERVISOR PLANS VEGETATION SEATURTLE I MANGROVE
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