HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/19/20 Permit Number:
lro �urCuL! = R
f Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential xxxxx
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:Water Heater
PROPOSED IMPROVEMENT LOCATION:
Address: 6239 Arlington Way
Property Tax I D #: 1312-502-0082-000-0 Lot No.181
Site Plan Name: Block No.
Project Name: Nervi Residence
DETAILED DESCRIPTION OF WORK:
Like for Like 50 G 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 _ Shutters
Electric _ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $
Sprinklers Generator
Sq. Ft. of First Floor:
Windows/Doors Pond
Roof Pitch
Utilities: -Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Robert Nervi
Name: Don Miranda
Address: 6239 Arlington Way
Company: Miranda Plumbing & Air Conditioning Inc.
City: Ft Pierce State: _
Zip Code: 34951 Fax:
Phone No.
Address:750 NW Enterprise Dr
City: Port St Lucie State: FI
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-Mailjay@mirandacompanies.com
State or County LicenseCFC1427227
vauc vIJ GJVV VI MUFe, d KCI.VKucu immice OT LOMmencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGIN'EER: ____ Not Applicable
Name: MORTGAGE COMPANY:
Addres Name:
City: � Address:
State: City:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
— Not Applicable BONDING COMPANY:
Address:
Name:
City: _
Address:
Zip: Ph one:
City:
Zip: Phone:
_ Not Applicable
State:
eNot Applicable
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 Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in contlict 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 d
an accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
improvements to your property. A Notice of Commencement must b rded in the public records of St.
Lucie Cou r —(I-Posted on the jobsite before the first i�re
spe If you inten p obtain financing, consult
with I der or an a#torne before commencin work or rdin our Notice of,tommencement.
of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF St Lucie
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this Nc day of a , — 2020 by
Don J Miranda
Name of person making statement.
Personally Known x OR Produced Identification
TYpeys�ldentification Lori Diodato
Pr Free 14
/ Commission # GG069258
Expires: Feb, 9, 2021
J7
Signature of Notary it da )
Commission No, FF945187 (Seal)
REVIEWS FRONT ZONING SUPERVISOR
DATE COUNTER REVIEW REVIEW
RECEIVED
DATE
COMPLETED
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF stL.c;e
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this Nt\ day of _,;,a,�_ 2020 by
Don J Miranda
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification .��' "��
Produce `,�!�� � �'�•, Lore i-ffioodaffo
�= Commission # GGOi
Expires: Feb. 9,
OF LBonded thru Aaron I
*nrrt+
(Signature of Notary Public- State of Florida )
Commission No. FF945187 (Seal)
PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW