HomeMy WebLinkAboutBuilding Permit Application Miranda Plumbing&AC 7728710863 p.2
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 i 3 ' t j Permit Number; J_
RECEI'.'70 NOV 04.2015 RECEIVED
Building Permit Application NOV - 4 2015
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax:(772)4 2-1578 Commercial Residential xxxx
PERMIT APPLICATION FOR: M chanical
Address: 11 EI Greco South
Legal Description:
Property Tax ID#: F"/nnn / ��� ]' ®`/f,���
�V I 1 JV"1^�" � v / / V
Lot No.
Site Plan Name: Block No.
Project Name: Patricia Straub
Setbacks Front Back: Right Side: Left Side:
pttl .... ..::::.
Like for Like A1C Package unit replacement 3.5 ton-14 seer-10 kw
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ACICIttional work toe DerrDrmed un r t is permit—check a appy:
FVIHVAC0 Gas Tank Gas Piping Shutters ❑Windows/Doors
11 Electric 1:1 Plumbing Sprinklers a Generator Roof
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction: $ n . 0 Utilities:12 Sewer Septic Building Height:
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Name Dominic Russotti Name: Don Miranda
Address:11 EI Gerco S Company: Miranda Pumbing&Air Conditining
City: Port St Lucie State:F; Address: 750 NW Enterprise Drive
Zip Code: 34952 Fax: City: Port St Lucie State:FL
Phone No.772-332-6333 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$2500 or more,a RECORDED Notice of Commencement is required.
Miranda Plumbing&AC 7728710863 p.3
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DESIGNER/ENGINEER: _.. of Applicable MORTGAGE COMPANY:J �Not Applicable
Name: Name:
'Address: Address:
City: State: City; State:
Zip: Pho e; Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Pho e: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT: pplication is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or ln�tallatlon has cc mmenced prior to the issuance of a permit.
St.Lucie County makes no epresentation hat is granting apermitwill authorize the permit holder to build the subject structure
which Is in conflictwith any applicable Hor ie Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult w th your Homewners Association and review your deed,or any restrictions which may apply.
in consideration of the granting of this req ested permit, I do hereby agree that i will,in all respects,perform the work
in accordance with the approved plans,th Florida Building Codes and St.Lucie County Amendments.
The following building pe 1 it applications re exempt from undergoing a full concurrency review:room additions,
accessory structures,swim ing pools,fen es,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure o Record a Notice of Commencement may result in your paying twice for
improvements to you property.A otice of Commencement mast be recorded and posted on the jobsite
befor a first Inspe ion. If you in end to obtain financing, consult with lender or an attorney before
co •then in work or cordin our Notice of Commencerne .)
Signature of Owner/Agent J Lessee Sign resift ontractor/License Holder
STATE OF COUNTYOFORI :Ay v�,` COUNTYOFSTATE OF O��`��t
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The forgoing instrument w 3s acknowled d b fore me a�`"""'�•, forgoing g gar{3a�H :5
i3a•t�of'o The for am instrument�va5 acknowledged before me �� �,,
this_day of_ _ 20 b}r ''j t3 this__„_day of .261 by bs
r4gPlp.C0��, rrrrrt es»�``�
rrrst�Hrfi� /- � :Gr
Name f person acknowl dging) o (Name of person acknowledging) CP
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Signature of Notary pub i -State of Flori'a} o rSi nature of Notary Public-State of Florida} a
of as
Personally Known OR Produced I entification Personally KnownL--- OR Produced identification
Type of identification Proused Type of Identification Produced
commission Na .r ( ( eal} Commission No t7F 3aq�S`r'(Seal)
Revised 07/15/2014
REVIEWS FROM ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE I MANGROVE
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