HomeMy WebLinkAboutHorstmeier-PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/17/2020 Permit Number:
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: 301 SE Solaz Avenue
Property Tax ID #: 3419-545-0029-000-8 Lot No.
Site Plan Name: Block No.
Project Name: Ronald R Hlorstmeie Residence
DETAILED DESCRIPTION OF WORK:
Like for Like A/C System Replaceemnt
3Ton-14.5 Seer-10 KW -Vertical -Ground
CONSTRUCTION INFORMATION:
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 Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Ronald R Horstmeier (TR)
Name; Dori Miranda
Address; 301 SE Sol AVE
Company: Miranda Plumbing & Air Conditioning, inc.
City: Port St Lucie State:
Zip Code: 34983 Fax:
Phone No. 772-879-5123
Address:750 NW Enterprise Dive
City: Port St Lucie State: FL
Zip Code: 34986 Fax:
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 CAC1 815486
IT value oT construction is $LSUU 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.
HE
P
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
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENC EN .
M (s rvFd`fiy owner/Agee and applicant:
I
Si ature of contractor tr-
( a� ) (Signature of Owner or Agent (including contractor))
State of Florida, County of S;�- U-1c, i e-
Affirmed to and subscribed before me this
,20 ,by
personally known to me or who has produced
as identification.
Notary Signature:
Notary (print name)
0
State of Florida, County of S+
Affirmed to and subscribed before me this 2 '+• ,�
20 by � {
personally known to me or who has produced �+
as identification. c;
mi
Notary Signature: �„�... .c .� !� �.++��►�N,
Notary (print name)
Construction documents must accompany this application. The Florida energy code submitted becomes an integral part of this
plan and must pass final inspection. "Notice: In addition to the requirements of this permit, there may be additional restrictions
applicable to this property that may be found in the public record of this county, and there may be additional permits required
from other governmental entities such as waste management district, state agencies, or federal agencies. "SIGNATURE OF THE
APPLICANT MUST BE NOTARIZED. If owner builder, applicant must sign in person. BUILDING PERMIT includes:
Building, Electrical, Plumbing, Mechanical, and Sewer only. All other trades require separate applications.
Asbestos compliance: It is the owner's or operator's responsibility to comply with section 469.003, Florida Statutes, and
to notify the Department of Environmental Protection of his or her intentions to remove asbestos, when applicable, in
accordance with state and federal law.
FEE SIMPLE TITLEHOLDER, BONDING COMPANY AND MORTGAGE LENDER INFORMATION IS REQUIRED WHEN
THE AGGREGATE VALUE (TOTAL COST OF ALL IMPROVEMENTS AND NOT JUST WORK AUTHORIZED BY THE
INDIVIDUAL PERMIT) IS $2500 OR MORE (EXCEPT HVAC REPAIR/REPLACEMENT< $7500). PLEASE ADDRESS ALL
ITEMS.
Fee Simple Titleholder's
❑ Same as Owner
Name (if other than owner):
Address;
City:
State: Zip:
Mortgage Lender's
1:1 Not Applicable
Name:
Address:
City:
State: Zip:
Bonding Company
Name:
Address:
City:
0 Not Applicable
State: Zip:
OFFICE USE ONLY
Is the property located in a Special Flood Hazard Area (floodplain) per the current Flood Insurance Rate Map (FIRM)
❑ Yes ❑ No
Flood Zone: Reviewed by: Determination:
Permit Fee $ Other $ Plan Review Fee $
State Surcharge $ Other $ Routing Fee $
Subcontractor $ Flood Review Fee $ Other $
Total Amount Due at Issuance
Remarks
Reviewed by
Date Final Check
Active Code Violation ❑ Yes ❑ No
Case #
Case Type
Date
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