HomeMy WebLinkAboutBuilding Permit Application 7728710863K8iran6aP|uo�bnA&AC 7728710863 Pp.2
ALL APPLICABLE IN"UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
RECEIV70 OCT 13 2015
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia A ven u e,Fort Pie rce FL 34 982
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential XXXXX
PERMIT APPLICATION FOR: Mechanical
Address: 8800 s Ocean Drive#1205
Legal Description: Island Dunes Oceanside Condominium 11 Unit 1205(or 1728-387)
Property Tax ID#: 3535-603-66S-01 09-000-7 Lot No.
Site Plan Name: Block No.
Project Name. Derek&Carol Morrison
Setbacks Front Back: Ripht Side: Left Side:
Like for Like A/C Replacement
Closet-13 seer-4 ton-no heater
Additional W to be nertormpa under Th is Perm it—check all that apply,
ZHVAC Gas Tank DGas Piping Shutters Windows/Doors
Electric Plumbing Flprinklers Generator Roof
Total Sq. Ft of Construction: SCI. Ft, of First Floor:
Cost of Construction:$ 5173.70 Utilities:[]Sewer Septic Building Height:
Name Carol&Derik Morrison Name: Don Miranda
Address:8800 S Ocean Drive#1205 Company-, Miranda Plumbing&Air Condiffaning,Inc.
City: Jensen Beach State:FL Address: 750 NW Enterprise Drive
Zip Code: 34967 Fax: City, Port St Lucie State:FL
Phone No.973-997-8309 Zip Code: 34986 Fax: 772-871-0863
E-Mail:dwm2000@icloud.com Phone No. 772-878-5123
Fill in fee simple Title Holder on next page(if different E-Mail:.-Ldiodato@mirandacompanies.com
from the Owner iisted above) State or County Litcense: CAC1815486
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
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S[JPPIEM.E[JTALC NSTRIJCTJ. I !`'LIEN LA111Yr!!V'F:O.
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DESIGNERIENGINEER: `Not Applicable R MORTGAGE COMPANY:. Not Applicable
Name: Name:
'Address: ___ -- Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE NOL ER: Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: ( Address:
City: i City:
Zip: Phohe: Zip: Phone:
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OWNER/CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to clothe 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 iepresentation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with an applicable Home Owners Association rules,bylaws r and covenants that may restrict or prohibit such
structure.Please consult w1)th 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 app(oved 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 accessory uses to another non-residential use
WARNING TO OWNE is 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
beforg#a first inspection. if you intend to obtain financing,consult with lender or an attorney before
comfn'enhing work or ecording your Notice of Commence menj.---,,
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Signature of Owner/Agenti Lessee Signa re o.Contractor/License Holder
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STATE OF FLOR�13 STATE OF FLORID,1 j
COUNTY OF ? - ��t Y' COUNTY OF `� ' LSC
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The forgoing instrumenWA s acknowledged before me�.a1` Noa4 The forgoing instru ent was acknowledged before me
this,adayof GSC. 1 2D 15 by - ?� this t day afC� 20mby =fids
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(Name of person acknowldd i ng) � r (Name of person acknowlgdging)en
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( ignature of Notary u nct State of Florida) 88 0 ¢ {Signature o li6i&yPub tate of Florida)
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Personally Known XJ4. ' I OR Produced Identification Personally Known'<XX OR Produced identification
Type of Identification Proc uced Type of Identification Produced
Commission No. ' U 3 {Seal) Commission No. c r(Seal)
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Revised 07/1512014
REVIEWS FROM ZONING SUPERVISOR PIANS VEGETATION SEA TURTLE MANGROVE
COUNT R REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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