HomeMy WebLinkAboutBuilding Permit Application Miranda Plumbing&AC 7728710863 P.1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �G Ils Permit Number:
'qT 1' RECER'71 OCT 13 2015
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)462-1573 Commercial Residential xxxxxxx
PERMIT APPLICATION FOR: Mechanical
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Aoostb*Olk VEM t TION
Address: 4708 Silver Oaks Drive Fort Pierce FL 34982
Legal Description: INDIAN RIVER ESTATES-UNIT 05-BLK 28 LOTS 5,6 AND 7(MAP 34102N)(OR 1181-2892)
Property Tax ID#: :3402-606-0254-000-8 Lot No.
Site Plan Name: Block No.
Project Name: Margarita Ardura
Setbacks Front Back: Right Side: Left Side:
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Like for Like A/C System Replacement
Attic-14.5 seer- I OKW LA to
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Additional work to e pertormed uncler this permit–check all that appy:
OHVAC 1-1 Gas Tank F7 Gas Piping, —Shutters Windows/Doors
DElectric QPlumbIng F]Sprinklers 01 Generator DRoof
Total Sq.Ft of Construction: Scl.Ft.of First Floor:
Cost of Construction:$ 5120.00 Utilities:0 Sewer L Septic Building Height:
SEE. bb.N'TRACTQR-V
Name$alvadoraArdura Name: Don Miranda
Address:4708 Silver Oak Drive Company: Miranda Plumbing&Air Conditioning.Inc.
City: Fort Pierce State:FL Address. 750 NW Enterprise Drive
Zip Code: 349B2 Fax: City: Port St Lucie State:FI-
Phone No.772-460-9559 Zip Code: 34986 Fax: 772-871-0863
E-Mail: Phone No, 772-878-5123
Fill in fee simple Title Holder on next page(if different E-Mail: Ldiodato@mirandacompanies.com
from the Owner listed above) State or County License: CAC1815486
if value of construction is$2504 or more,a RECORDED Notice of Commencement is required.
Miranda Plumbing&AC 7728710863 p.2
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DESIGNER/ENGINEER: —Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
'Address: Address:
City: State: City: State:
Zip: Pho e: Zip:— - Phone:
FEE SIMPLE TITLE HOWER: Not Applicable BONDING COMPANY: —Not Applicable
Name: i Name-,
Address: Address:
City: i City:
Zip- Phohe-. Zip, Phone:
OWNER/CONTRACTOR AFFIDVIT:Application Is hereby made to obtaln.a permit to do the work and installation as Indicated.
I certify that no work orinstallation has commenced prior to the issuance of a permit.
St.LucleCountv makes no representation that Is granting aermit will authorize the permit holder to build the subject structure
which is In conflict with an j Pill bl Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
)g ca e
structure.Please consul w your Home Owners Association and review your deed for any restrictions which may apply.
In consideration : ting of this requested permit,I do hereby agree that I will,in all respects,perform the work
in accordance with the app,raved 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,swim-ning 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 jobsite
before.t1he first inspection. If you intend to obtain financing,consult with lender or an attorney before
com.men Ning work or liecordinizvour Notice of Comm cemen-1,--s
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Sig6atuFe-of owner/Ageni I Lessee Signa tkreiftontractor/License Holder
STATE OF A FLOT� STATE OF FLOI�=
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COUNTY OF % COUNTY OF
The forgoing instrument acknowledged before meg The forgoing instrument was acknowledged before me 141
this dayof 20b this
1ffy day of
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Name fperson acknowledging) S (Nameofperson acknowledging)
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'Signature of Notary Publill State of Florida US (Si&Knature of Notary Public-State of Florida
Personally Known OR Produced Identification Personally Known L---- OR Produced Identification
Type of Identification Proc uced Type of Identification Produced
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Commission No (Seal) Commission No�ff�t 3, 0 3S (Sea
Revised 0711512014
REVIEWS FROM ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
I COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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DATE
COMPLETED