HomeMy WebLinkAboutBuilding Permit Application 7728 1O863 p2
Miranda Plumbing&AC
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
RECEIVED
Building Permit Application AUG 14 2015
Planning and Development Services
Building and Code Regulation Divisloo
2300 Wrginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click here
PROPOSED INPROVEMENT LOCATION:'
Property Tax I D Lot No.
Site Plan Name., Block No.
Project Name:
Setbacks Front_ Back: Right Side:_Left Side:
LCIETAILED DESCRIPTION OF WORK:
CONSTRUCTIO'N INFORMATION"
11 Electric Z Plumbing F7Sprinklers Generator ORoof
Total Sq.Ft of Construction: So.Ft,of First Floor:
Cost of Construction:$ ou Utilities:11 SewerFle'ptic Building Height:
OWNER/LttSE�: CONTRACTOR:
Fill in fee simpte'ritle Holder on next page(RiPerent E-Mail:. I-)C-,U I)n, Cc fl"Pcl 1-1,e S. , _O(n
from the Owner listed above) State or County Ucense-—a . ?4,;-2 �,27 -
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
I II
Miranda Plumbing&AC 7728710863 p.3
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SUPPLEMENT C�NSTRUCTIO.N-LIEN' :,LAW INFORMATION:
DESIGNER/ENGINEER-�� Not Applicable MORTGAGE COMPANY: Not Applicable
Name: I Name:
Address- I Address:
City: I State: City: State;
Zip: Phohe: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: NotApplicable
Name: Name:
Address: Address:
City: City:
Zip: Phohe: Zip: Phone:
OWNER/CONTRACT611 AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certifythat 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 an, applicable Home Owners Assocjaton ru les,bylaws or and covenants that may restrict or prohibit such
structure.Please consult wfth your Horne Owners Assoclationand review your deed for any restCtctlons which may apply.
In consideration of the granting of this requested permit, I do he-eby agree that I will,in all respects, perform the work
in accordance with the app,'roved plans,the Florida Bu:cling Codes and St. Lucie County Amendments.
The followlinglouilding perTft applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimring pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your faillure to Record a Notice of Commencement may result in your paying twice for
.improvements to yourproperty. A Notice of Commencement must be recorded and posted on thejobsite
befor.�e first inspection. If you intend to obtain financing,consult with lender or an attorney before
STATE OF FLOEIJ)A STATE OF FLO,MA
The;gfoolng instr owledged before me ...... The f ing instr ment w a owl edged before me
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1711
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fSignature of Notary Publilc-Stafe of Florida
(S'gnature of Notary Pt6lic-Sta(te of Florida ;a
Personally Known OR Produced identification Personally Known R Produced Identification
Type of Identification Pro uced Type of Identification Produced
Commission No. - (Seal) Commission No. (Sea 1)
Revised 07/1512014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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DATE
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