HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: _1 115 Permit Number: 1S1 -OdSa
RECEI F, 7D DEC 0 3 2015
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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)462-1578 Commercial Residential xxxxx
PERMIT APPLICATION FOR: Mechanical <,a,r\�C5
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Address: 9600 S Ocean Drive#708
Legal Description: EMPRESS CONDOMINIUM UNIT 708(OR 3795-1977)
Property Tax I D#: 4502-620-0053-000-3 Lot No.
Site Plan Name: Patrica Parks Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Like for Like A/C System replacement"I 5.5 Seer***BKVV***Closet****Roof
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Additional work to El
r orme un ert is permit—c a appy:
HVAC Gas Tank Gas Piping _Shutters EIWindows/Doors
Electric 0 Plumbing Sprinklers a Generator F] Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 6852.00 Utilities:!Sewer Septic Building Height:
Name Patrica Parks Name: Don Miranda
Address:9600 S Ocean Drice 708 Company: Miranda Plumbing 7 Air Conditioning, Inc.
City: Jensen Beach State:FIL Address: 750 NW Enterprise Drive
Zip Code: 34957 Fax: City: Port St Lucie State:fl
Phone No.203-887-5204 Zip Code: 34986 Fax: 772-871-0863
E-Mail:PM1447@AOL.COM Phone No. 772-878-5123
Fill in fee simple Title Holder on next page(if different E-Mail: Idiodato@mirandacompanies.com
from the Owner listed above) State or County License: CACI 815486
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/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 apermit 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 consult with 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 fmst-u2spei ion. attorney before
co cti If you intend to obtain financing, cons
gingworko�rr� �i6ig your Notice of Commencement.
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Signature of Owner/Lessee/Agent Signature of CDntractor/Lic--e-n-s-erFro-id-er
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this_day of 20 —by this_day of 20 by
6 rJ% C( 6,
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida ) (Signature of Notary Public-State of Florida
Personally Known ")4YX, OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced— Type of Identification Produced I ori pladato
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Commission No. t - tS6- � g ?MhISSJa1#EE85679
4 Commission on NoEEiS ( i )4 FR.09,2017
EXPIRES:FEB.09,2p17 WKWAARDNNOTARYCOM
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Revised 07/1512014
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