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HomeMy WebLinkAboutScan0003All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION T Date: 03/25/2020 Building Pe Planning and DevelopmentServices Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1S78 Commercii PERMIT TYPE: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 5 Rio Verde Way Property Tax ID ##: 3426-500-1249-000-6 Site Plan Name: Project Name: Beach ler-Residence DETAILED DESCRIPTION OF WORK: Like for Like A/C System Replacement 3.5 ton-5KW-14 Seer -Horizontal -Goodman CONSTRUCTION INFORMATION: BE ACCEPTED Permit Number: rmit Application I Residential xxxxxxxx COI Name Martha L Beachler Address:5 Rio Verde Way Na n- Lot No. Block No. Com State: Additional work to be performed under this permit –check all that apply: ,Mechanical — Gas Tank Gas Piping in g _Shutters — Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 5608.00 — Generator Sq. Ft. of First Floor: Windows/Doors Roof Pitch Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: COI Name Martha L Beachler Address:5 Rio Verde Way Na n- City: Pork St Lucie Com State: Addi _ Zip Code: 34952 Fax; City: Phone No.772-878-5123 Zip C E -Mail: Phor Fill in fee simple Title Halder on next page (if different E-Mz from the Owner listed above) State I I RACTOR: e: Don Miranda pang; Miranda Plumbing & Air Conditioning ess:750 NW Enterprise Drive Port St Lucie Stater ode: 34986 Fax: e No 772-878-5123 it Ldiodato@mirandacompanies.com 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: Name: --- Not Applicable MORTGAGE COMPANY: Address: City: Name: —_ Not Applicable Zip: Phone State: ,� Address: City: ' FEE SIMPLE TITLE HOLDER: Zip: ----�� Phone: State: Name: ,� Not Applicable BONDING COMPANY. - Address: Name: —Not Applicable City. Zip: Address: Phone: City, Zi OWNER/ CONTRACTOR AFFI®VIT: Application is hereby made to obtain a�' PbD�e` 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 to do the work and installation as indicated, which is in contlict with an a g permit will authorize the permit holder to build the sula'ect structure y ppfur Ho Home Owners Association rules, bylaws or and covenants that may restrict or prohih structure, Please consult with your Home Owners Association and review your deed for any restriction In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, in accordance with thea s which may apply, approved plans, the Florida Building Codes and St, Lucie Count The following buildingpp p perform the work permit applications are exempt from undergoing a full concurrency review: room additions, mendment .31 accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use "WARNING TO OWNER: YOUR I•AiLURE TO FOR IMPROVEMENTS TO YOt1 POST ITR PROPERTY. A NOTICE OF COMMENCEMENT RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING POSTED ON THE JOB SlE BEFORE TFiE FIRST INSPECTION. IF" YOU INTEIyip TO OB TF1 YOUR LENDER OR AN AYTORNIEY S✓EFORE RECOR171 MUST BE RECORDED AND YOUR NOTICE OF COMM NCEMIENTNCING, CONSULT I re . ulMaceor as Agent for Owner STATE OF FLORIDA COUNTY OFsTiuci, The forgoing instrument was acknowledged before IBM this 22 day of ANUAaY p' 2©� by .- ame of person making statement. IN PLi 42 ersonally Known?' �� OR Produced ldentificat rri�+ j Type of Identification Produced rari� i t tl'Vature of Notary Pubfi7State Commission No. L_._I Z �) REVIEWS FRONT COUNTER REVIEW DATE REVIEW RECEIVED DATE COMPLETED Cup;,.,Npk 8a. s�C`s', i1, 21 Thty heron N 319"ture of contracto STATE OF FLORIDA COUNTY OFSTLUcrE The forgoing instrument was acknowledged before tills 22___ day of iAUARY me 20 �Jy Name of person maakkiing statement. Personally Known x'—xOR Produced Identification ` Type of fdentification Produced re of Notary Pubhc- stat@ mmission No. SUPERVISOR I PLANS REVIEW REVIEW COMI GG3 Nov. I iIn Aar VEGETATION SEA TURTLE REVIEW REVIEW MANGROVE REVIEW