HomeMy WebLinkAboutBuidling PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/25/2020
Permit Number:
Luau � _h
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 APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 5806 Deer Run Drive
Property Tax ID #: 1313-502-0128-000-8
Site Plan Name:
Project Name: Stives Residence
DETAILED DESCRIPTION OF WORK:
Like for Like HVAC Replacement
Lennox/2.5 ton/Vertical/Ground/16 Seer /10KW
New Electrical Meter Second Electrical Meter
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:
Cost of Construction: $ 7000.00
Lot No.
Block No.
_ Windows/Doors Pond
Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer —Septic
OWNER/LESSEE:
Name Jeffrey StivesChristine Ascherman
Address: PO Box 643009
City: Vero Beach
State: _
Zip Code: 32964 Fax:
Phone No. 772-878-5123
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Building Height:
CONTRACTOR:
Name: Don Miranda
Company: Miranda Plumbing & Air Conditioning, Inc.
Address: 750 NW Enterprise Drive
City: Port St Lucie FL
State:
Zip Code: 34986 Fax:
Phone N0772-878-5113
E -Mail Ldiodato@mirandacompnies.com
State or County License CAC1 815486
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: — Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name: Not Applicable
Address:
City: State:
Zip:.__-____ Phone:
Not Applicable =Add.ress:
_Not Applicable
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.
w 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 ting a permit
rules, bylaws or and covenants that may restrict or prohibit s
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. such
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
WI�YOPOSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
ER OR AN ATTORNEY BEFORE RECORDING
OTICE OF ENCEMENT."
Signa ure ofi Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OFstLucie
The forgoing instrument was acknowledged before me
this 15 day of �"''
-- , 20 5 by
Don Miranda
Name of person making statement.
Personally Known xxx OR Produced Identification
Type of Identification
Produced
(Signature o— f— N� public- State oqf Florida )
Commission No. .'+9.t?/✓��`. Lori Diodato
"jEtlnmiS$i0n # GG0692
Expires: Feb. 9, 2C
nse Holder
STATE OF FLORIDA
COUNTY OFstLucie
The forgoing instrument was acknowledged before me
this °' day of'
20 "s by
Don Miranda
Name of person making statement.
Personally Known xxx OR Produced Identification
Type of Identification
Produced
1
(Signature of Notary Public -
mission No. _ a►
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE
COUNTER REVIEW REVIEW REVIEW REVIEW
DATE REVIEW
RECEIVED
DATE
COMPLETED
Lod Dlodato
Commission # GGO(
;kvT : Feb. 9,
Bonded thru Aaron h
MANGROVE
REVIEW