HomeMy WebLinkAboutBuilding Permit Application Miranda Plumbing&AC 7728710863 p.2
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: alldl 1 ✓
Permit Number: -0a10-
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Building Permit Application
A
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone; (772)462-1553 Fax. (772) 462-1578 Commercial Residential XXXXXX
PERMIT APPLICATION FOR: Mechanical
Address: 8613 Tomposon Point Road
Legal Description: tompson point pub at pga village (pb 43-1 0)[ot 23 (OR 2946-437;3741-2079)
Property Tax I D#: 3327-704-0024-000-8 Lot No.
Site Plan Name: Palmer Block No.
Project Name: Carl B Palmer
Setbacks Front Back: Right Side: Left Side:
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Like for Like HVAC Replacment 14 seer**4 Ton**1 OKW"Garage
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Aciclitrona lwar ictooeoertormed uncier tnis permit-check all tiiat apply:
EjHVAC GasTankE]Gas Piping I IShutters Windows/Doors
11Electric 0 Plumbing OSprinklers 1-1 Generator Roof
Total Sq. Ft of Construction: SCI. Ft.of First Floor:
Cost of Construction: $ r90 0 - C) C) Ut1l itles: Sewer Fleptic Building Height:
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Name Kathy Palmer Name: Don Miranda
Address:8613 Tompson Point Reod Company- Miranda Plumbing &Air Conditioning
City: Port Saint Lucie State:FL Address: 750 NW Enterprise Drive
Zip Code: 34996 Fax: City: Port St Lucie State:fl
Phone No.661-414-7743 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! Not Applicable MORTGAGE COMPANY:
Not Applicable
Name: Name:
Address: L Address:
City: t State: City: State:
Zip: Pho e: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: ____Not Applicable
Name: Name:
Address: r Address;
City: City:
Zip: Phohe: Zip: Phone:
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OWNER/CONTRACTOR AFFIDVIT:Application Is hereby made to obtain a permit to do the work and installation as indicated.
I certifythat no work or inCailation has commenced prior to the issuance of a permit.
St.Lucie Count�makes no!l representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflictwith an applicable biome Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure:Please consult vi�th your Horne 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 1 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 per`it applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swim ing pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OW N•E :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 e first Inspection. if you intend to obtain financing,consult with lender or an attorney before
commenibinia work or recording our Notice of Comm encemen \
Signature of Owner/Agent,Lessee Signa re-Of�contractor/License Holder
STATE OF FL ORI A STATE OF FLO >�
COUNTY OF �C'� COUNTY OF S)Ck
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The forg�ing instrurr��nt has acknawle ed before me,,%I, , The fo Ding instr�urnent was acknowledged before me
this ay of V v1 20�by '� this�day of !Ub d�1 � 2Q1by
JZ7TNam_eper5on acknowl4dging) A y 2 (Name of person acknowledging)
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Signature of Notary Pub iD.State of Floridaw $ {Si nature of Notary Public-State of florlda
Personally Known OR Produced identification Personally Known!--�'"'• OR Produced identification
Type of Identifica
a�t
i
-on Pra used Type of Identification'Produced
iEt Commission No ffE7[' r �
Commission No. {Seal) (Seal)
Revised 07/15/2014
REVIEWS FRONI ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNT R REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEiVED
DATE
COMPLETED