HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/3/2020
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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
PERMIT APPLICATION FOR:
Commercial
PROPOSED IMPROVEMENT LOCATION•
Address: 5708 Sunset Blvd. Fort Pierce, FI 34982
Property Tax ID #: 3402-609-0485-000-5
Site Plan Name: Kisler - Residence
Project Name: Joseph & Judith Kinsler
DETAILED DESCRIPTION OF WORK:
50 G - Bradford White - Electric Water Heater
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
_ Electric � Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 1641.57
OWNER/LESSEE:
Residential
x
Lot No. 7
Block No. 65
— Shutters — Windows/Doors Pond
— Sprinklers _ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _ Septic Building Height:
Name Joseph S Kisler Jr & Judith Kisler
Address: 5708 Sunset BLVD
City: Fort Pierce
State: _
Zip Code: 34982 Fax:
Phone No. 772-461-2997
E-Mail: homeywolf(a_bellsouth.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: Don Miranda
Company: Miranda Plumbing & Air Conditioning
Address:750 NW Enterprise Dr
City: Port St Lucie State: FI
Zip Code: 34986 Fax:
Phone No 772-878-5123
E-Mail jay@mirandacompanies.com
State or County License CFC1427227
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 MORTGAGE COMPANY:
Name: Name: Not Applicable
Address:
City: Address:
State: City
Zip: Phone y' State:
_ Zip: _Phone:
FEE SIMPLE TITLE HOLDER: — Not Applicable BONDING COMPANY: Not Applicable
Name: Name: —
Address:
City: Address:
Zip: PhoneCity:: 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 accessor use t
esidential
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in payingrtw ce for use
improvements to your property. A Notice of Commencement must b�.cec rded in the public records of St.
Lucie Cou nd-posted on the jobsite before the first ins e
with i der or an a torney before commencin work or rep rdi ou�Not Notice of omm obtaintendU financing, consult
ent.
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF Sti_ucie
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this "X day of 2020 by
Don J Miranda
Name of person making statement.
Personally Known X OR Produced Identification
Typesaf;,ldentification e ��
Pr �rde Lori Diodato
Commission # GG069258
Expires: Feb. 9, 2021
y .�.. �,,��=,, •••.....�', ton Nota
ry
(Signature of Notary Public- Staff'tl' l lorida 1
Commission No. FF945187 (Seal)
REVIEWS FRONT ZONING SUPERVISOR
COUNTER REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF sti xle
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this L dayof_ 2020 by
Don J Miranda
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification •"i°�''�• Lon Ip p
Produce xCommission # GGiN
Expires: Feb. 9,
Bonded thru Aaron I
(Signature of Notary Public- State of Florida )
Commission No. FF945187 (Seal)
PLANS VEGETATION SEA TURTLEFREVIEW
ROVE
REVIEW REVIEW REVIEW