HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01 /22/2020
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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: 6393 Citrus Ave Fort Pierce, FL 34982
Property Tax ID #: 3409-703-0014-000-3
Site Plan Name:
Project Name: Pulus Residence
DETAILED DESCRIPTION OF WORK:
Like for Like A/C System replacement
Permit Number:
Building Permit Application
Commercial Residential XXX
Goodman-14 Seer- 8kw-3 Ton System-Vertical/Ground
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
,Mechanical Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing — Sprinklers — Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 6050.00
Utilities: —Sewer _-..Septic
Lot No,
Block No.
Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Gwendolyn K Test (LF EST)
Name: Don Miranda
Address:6393 Citrus Ave
Company: Miranda Plumbing & Air Conditioning, Inc.
City: Fort Pierce State: _
Zip Code: 34982 Fax:
Phone No.772-342-7613
Address:750 NW Enterprise Drive
City: Port St Lucie State: FL
Zip Code: 34986 Fax:
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 LicenseCAC1815486
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, 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
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STATE OF FLORIDA
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DATE
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DATE
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ev. 2/7/19