HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED _
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Date: �.G',` ' ilrl Permit Number:
"� #ED'
Budding Permit Application
DEC 0 3 2015
Planning and Development Services PER.10ITTING
Building and Cade Regulation Division St. Lucie County, FL
2300 V)rginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772) 462-1578 Commercial_��� Residential
PERMIT APPLICATION FOR: Mechanical
Address: 8800 S Ocean Drive#Bqb '„OS
Legal Description: ISLAND DUNE OCEANSIDE CONDOMINIUM 11 UNIT 208(OR 1270-2920;2410-529:2464-2669)
Property Tax I D#: 3535-603-0012-000-0 Lot No.
Site Plan Name: Block No.
Project Name: Kenneth Burkhart
Setbacks Front Back: Right Side: Left Side:
:: : .: .. _
Like for Like water source unit replacement"!3.5 seer'no heater **Closet*'k**4 Ton**
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��:tiona wor to (e ne orme under tis permit—c ec a appy:
L"JHVAC I�I Gas Tank ❑Gas Piping _Shutters []Windows/Doors
Electric Plumbing Sprinklers 1=j Generator Roof
Total Sq. Ft of Construction: 5 Ft.of First Floor:
Cost of Construction:$ Cv 6ti a • n e Utilities:CnSewer aSeptic Building Height:
77,
-
NameKenneth Burkhart Name: Don Miranda
Address:4047 Chatfield Lane Company: Miranda Plumbing &Air Conditioning
City: Troy State:Ml Address: 750 NW Enterprise Drive
Zip Code: 4$098 Fax: City: Port St Lucie State:FL
Phone No.610-551-0591 Zip Code: 34986 Fax: 772-871-0863
E-Mail: Phone No. 772-878-5123
Fill in fee simple Title Halder 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.
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DESIGN ER/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 theermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or 2nscovenants 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,waits,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 fi ecticn. If you J.ntend to obtain financing, cons or an attorney before
to obtain
ing work torre ;nuour Notice of Commencement.
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Signature of Owner/Lessee/Agent Signature of Contractoi/i.-ic-e-n-srFro-id,-r
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 'L-+L--,X c I L S4 L&
C Q 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
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(Name o rson ac ledging) {Name pperson Wnledging
(Signature of Notary Public-State of Florida (Signature of Notary Public-State of Florida
'Personally Known \>�YY\ OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
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Lori Diodato -COMMISSION#EE 856794
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Commission No. Iz- r- cl S:k,7-1 1 J. MMISSION#EE856794 Commission No.EE iS 4-1 AyA RES.FEB.09,2017
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