HomeMy WebLinkAboutBuilding Permit Application '
Miranda Plumbing&AC 7�7728710863 p2
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Building Permit AppliCation
Planning and Development Services
2300 Virginla Avenue,Fort Plgrce FL' 34.992
Phone: (772i 462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Seieot from dropbox, click here
Legal Delcription, 9) PcIL-A.-c 'r
L\J GS
Property Tax ID#: Lot No. Ca�
Site Plan Name, BlockNo.C'
Project Name:
Selbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF-WORK:
I CONSTRUCTION INFORMATION:
—Addit-Fong,Worktobenerformed un r this permit—check all ti2al apply:
Gas Tank E]Gas Piping Fish utte rs Windows/Doors
VAC
Electric Plumbing 7SPrinklers Generator Roof
Total Sq. Ft of Construction;_F_ SQFt.of First Floor:
Cost of Construction:$Ef 6 qq, utiliti's-I:]Sewer E Sept1c: Building Height:
ES5'EE CONTRACTOR:
a E-Mail: Phone No.
Fill in fee simple Title Holder on next page if different E-M a 11:r_�
from the Owner listed above) State or County License:(_'*�.
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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Miranda Plumbing&AC 7728710863 p.3
Name: Name:Address: Address:City: State: City: State:FEE SIMPLE TITLE HOLIDER- Not Applicable BONDING COMPANY: Not Applicable Address: Address;City: City:Zip: Phohe: Zip: Phone,.OWNER/CONTRACTO�AFFIDVIT: Applica-.Ion is hereby made to obtain a permit to do the work and installation as indicated.I certifythat no work or inttallation has commenced priorto the issuance of a permit.St.LucleCoun k n 0 iepreseritation that is gmntin,a permit will authorize the permit holder to build the subject structure which is in coAictaw tsh n licable Home Own ion rules,bylaws or and covenants that may restrict or prohibit such view your deed for any restrictions which may apply.structure.Piesse consult w th your Home Owners Association and re In consideration of the graiiting of this requested permit,I do hereby agree that I wi!l,in all respects,perform thework In accordance with the appir oved plans,the Florida Building Codes and St Lucie County Amendments.The following building pi�rr.plt applications are exempt from undergoing a full concurrency review:room additions,accessory structures,swim r Ing 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 you�!property, A Notice of Commencement must be recorded and posted on the jobsite before_,the first inspection. If you intend to obtain financing,consult with lender or an attorn,ey before comrfienNng work or recording vour Notice of Comm cemeri-t�STATE OF ll"-LORI STATE OF FLOPDA COUNTY OF COUNTY OF The for ument was acknowledged before me A going instrument was acknowled d before me A"J"t, The rglnginstr 0 CC f 2025by 0 33 = 0 F3 :2 wa'g-ame of person acknowledging) R (NaKe of person acknowledging) 25 CD ZAK- V�k(Signature of Notary Pub�ik-�tate of Florida (Slg�atkire of Notary Public-State of Florida) us Personally KnowrL�OR Produced ldentificatiorm Ln Personally Knowr��--OR Produced Identification Type of Identification Pro uced 'Type of Identification Produced Commission No.E Commission No-E Revised 07/1512014 REVIEWS FRON ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE 4IR REVIEW REVIlEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED i