HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/30/2020 Permit Number:
arc, LucaE ;R
Ai
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
PERMIT APPLICATION FOR:Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: MUV Nimblewill Court
Property Tax ID #: 3425-706-0123-000-9
Site Plan Name:
Project Name: Smith Residence
Residential xxxx
DETAILED DESCRIPTION OF WORK:
Like for Like Package unit replacment Goodman GPC14-036 GROUND-14 Seer 8kw 3 ton
New Electrical Meter Second Electrical Meter
Lot No.
Block No.
CONSTRUCTION INFORMATION: —I
Additional work to be performed under this permit— check all that apply:
�s�Mechanical _ Gas Tank _ Gas Piping _Shutters
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ o C1
_ Generator
Sq. Ft. of First Floor:
Windows/Doors Pond
Roof Pitch
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Robert Smith
Name: Don Miranda
Address:3809 Nimblewill Court
Company: Miranda Plumbing & Air Condiotioning
City: Port St Lucie State: _
Zip Code: 34952 Fax:
Phone No.772-204-2910
Address:750 NW Enterprise Drive
City: Port St Lucie State: FL
Zip Code: 34986 Fax:
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 CAC1815486
--------- ----..__._ ..... .,,. -11-P w 9A \W UCLJ IMULIGC UI lAmmencemenx 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:
MORTGAGE COMPANY: Not Applicable
Address:
Name:
City:
State:
Address:
Cit
Zip: Phone
Zip Phone: State: —
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
Address:
Name:
City:
Address:
Zip: Phone:
city:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that noo work or installation has commenced prior to the issuance of a permit.
St.
is inocont ict with any applicableiHome aOiwners Asssocipation ermirwill
esauthorize r he permit hold r to build the
t subject jep structure
t bit 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
WITH YOU_RI.FNDER OR AN ATTORNEY BEFORE RECORDING TIC- AF ciurrur�T »
Signature o Owner/ lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OFstLucie
The forgoing instru—ent was acknowledged before me
this .7.5 day of _^"] <, 20 !1* by
Don Miranda
Name of person making statement.
Personally Known xxx OR Produced Identification
Type of Identification
Produced ,y
(Signature of Notary Public- Statetgif Florida )
Commission No. ���i�;. Lori Diodato
ISCOMmission # GG0
Expires: Feb. 9,
REVIEWS I FRONT I ZONING
COUNTER I REVIEW
DATE
RECEIVED
COMPLETED
ctor/License Holder
STATE OF FLORIDA
COUNTY OFstLucie
The forgoing instrument was acknowledged before me
this j' day of .,. e, - �_ 20 26 by
Don Miranda
Name of person making statement.
Personally Known xxx OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public -
mission No.
Irommission # GG
>"Pies: Feb. 9,
Bonded thru Aaron
UPERVIS
S EA TURTANG
REVIIEWOR REVIEW I I PLANSVRI EWEGETATION S REV EWLE M EVIEWVE