HomeMy WebLinkAboutBuilding Permit Application Miranda Plumbing&AC 7728710863 p.1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
bate:�a a0 5 Permit Number: Vs "d363
RECEIVED OCT 2 0 2015
Building Permit Application
Planning and Development Services
Building and Code Reguiation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential xxxxx
PERMIT APPLICATION FOR: Mechanical
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Address: 3221 S Lakeview Circle#101 Fort Pierce
Legal Description: THE SANDS-SECTION ll-PHASE I BLDG 18 UNIT 18101 (OR 3213-508)
Property Tax ID#: 1426-501-0001-000-6 Lot No.
Site Plan Name: Block No,
Project Name:
Setbacks Front Back: Right Side: Left Side:
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like for like A/C system replacement
3 ton-roof top/closet-15 seer-1OKW
CC NSTRt�CT NFORIVI0Q
Additional work toa nertormed under tis permit—c Feck all that apply:
HVAC Gas Tank ❑Gas Piping _Shutters E]Windows/Doors
Electric 0 Plumbing ❑Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft,of First Floor:
Cost of Construction:$ 6972.36 Utilities:[]Sewer OSeptic Building Height:
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Name Stephen T Dirhold Name: Don Miranda
Address:P.O. Box 1124 Company: Miranda Plumbing&Air Conditining
City: Marion State:NC Address: 750 NW Enterprise Drive
Zip Code: 28752 Fax: City: Port St Luicie State:FL
Phone No.828-467-3537 Zip Code: 34986 Fax: 772-871-0863
E-Mail:steved@jimcookchevroletcom 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: CA01815486
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
Miranda Plumbing&AC 7728710863 p.2
:SUPPLEMENTAL CONSTRi1CTt N Lf:EN LAW
IN 61
DESIGNERI ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that 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 any applicable Home owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consultwith 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 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 the first inspection. If you intend to obtain financing, consult with lender or an attorney before
comnle.ucing work or recording our Notice of Commencem
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.ignature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF sT LuciE COUN-Y CO U NTY OF 9T W-ME COUNTY
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this t'I day of OCY- 20 l Sby this t Cl day of G C—J: 20 by
Don Miranda Don Miranda
{Name person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) {Signature of Notary Public-State of Florida)
Personally Known — OR Produced Identification Personally.Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. �R��?Leal ori Diodato Commission No. .�""""�
,�.. �- ; ,rpzie ilori Diodato
3=� =.COMMISSION#EE856794 =_ '�-COMMISS100EE856794
99,29i7
Revised 07/1512014 WWW.AARONNOTARY.com ��'n, ;;� `WWW-AARONNOTARY.cam
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