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Home My WebLink AboutBuilding Permit Application 7728710863 p.2 Miranda Plumbing&AC Miranda Plumbing&AC 77287-10963 p• ALLAPPGIE 1NFQ MUST BE I PLETED FOR APPLICATION To BE ACCEPTED late •� � Permit Number, Building Permit Application 'DEC 1 15 Xarlrlag and Nvaiopment Setvtcer &dldieg and Code Regufatlon aivtsto 23W Virglnlo Avenue,Fort Plerre FI, S9 t Phone:(772)462-1553 Fax-:072 452•1S78 Commercial___________, ReSidential PERMIT APPLICATION FOR: o Select from dropbox, ailok here pROPOSEI)iNMOVEMENr CATION: Legal escFiptian: _]B y ''. !T �.^ l Property Tax ID#i: t- -1 ;- �; t;--1..:? -�. lot o, Site Plan Norms: sloe No, Project Name: SerbackS Front Back: Aignt Sides Left Side:_ t DETAILEbbtSCRIPTION OF �_RK; 1 CONSTUM. ON.INF,0RMAT-1 h: i an r Zq ■ e, Orme un �r rs perm - ec a appy, FittAC Gas Tank Gas pipigg ""'J'-Shutters 17'Mindows/Doo [ EQectr,c Plumbing ❑Sprinklers 7 Generator 1DRoof Total St,Ft of C©nstructiow S Ft.of First loom Cost of Construction:S r ��- Utititiesr5ewer Septic Building Height: Otf NEWL•FSSEE: CONTRACT OR; ;varve Nam Address: Address:r l .1r1'.i0 l ` . 7.1, 1 Compary: iplom ridC Ci;y: i)l^ k:4 k..!i f k'i Sta,e:WY Addrp4s" Zip CadeG Fax:_ _ City; See Phone IYo. � - �'`• Zip Code: rct 'ibo Fax:' E-Mail: Phone No. Fill In fee simple Title Holder on next pie(if different E-Mail-n f%Af, VN66 ell r from the Owner ti5ted above) State or County Licehse:•� 0 If value of construction ts$xSCB or more,a 1ECORDED hot]ce of Camrneneementis regvi:ed. 7728710863 p•3 Miranda Plumbing&AC N.irands Plumbing&AC 77287`108(33 p y I ir- I +,� >Ga• �*.. ,.w a�sy... sm.,r.,. 7•.�..,..�-K-,.v•v� I ` .;:i.,,e .:•: .. `t`�'•:U.P NSi: tN�ii !°.t�`w:R'�v i li :T.: d .,,• 44y.,, tit.11,ti' •(. ((f��i' 1.n.1�'a. 1' t ii' ii. •.:, •1'X"•J G2,VIR+ 1 ,�:•:,v ti•��. DESIGNS ENGINEER Not Appiicabl2 MORTGAGE COMPANY- ___-Not A 1pli ble Name' _ Tame: -Address' i Address: _ City state: C;tyt ate I Zip: Pha e: Zip: Phone: I FEE SIMPLE TITLE HO ER. of Applicable NONDING COMPANY: —Not A Iic le Name, _ Name: Address: Addrem: City; city) Zip: _oho e i Zip: Phone' 1.-. OWNER/CONTRACTO,,i AFFiDVi 1plicaoonls hzreby made to obtain a permit to do thework and Instailat! as dicated. I certdp that no wark or insta!latl on has c, menced prior to the issuance of a permit, 5 4ocie Cvunttyy makes no presentation at is granting a pannit,uil!authorize the permit hoicer to bijud the suble stru ura which isin contiletvifi;h an fi piicable Ho Ovwna sscciaton rules,bylaws or ani covenants that may,restrictor hlb such structure,Please consult wt hyour iNorrie 4mers ASsoclation and reviewyour aged or any restrictionswhich may ap V. to consideration of the gra ting of this req i:sted permit,i do-hereby agree that!will,in ail respects,perform the vvo in accordancewrith the ap;raved piens,th lorida Buliding'Codes and St.Lucie County Amendmenu. The following budding per .Ff appil-cations to 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 rwi-residenti use WARNING TO OWNS :Your failure �Record a Notice of Commencement may result in your paytrtg tw of Improvements to you property.A btice of Commencement must be recorded and posted an the obs' e beforea first inspelon.if you 1171 nd to obtain financing,consult with lender or an attorney be re co en 'n work or ddd- cordin ou Notice of Comrnenceme '`� Sigrieture of owner!Agen Lessee Signa m–a ontrastor/Ucerise Holder STATE OF FLC6R! A STATE OF EIA COuNTy AF COUNTY OF `�i^^,�.L!,)r t AC? The for oing instrument e acknowied a before m �"fu;"'� The forgoing Ir-stnrment was acknaHiedged before e g a ,,e; °�►o�� this day of 2 by g�i � this.._._day of ?ACby , " •117• � - �. arae f per;an acknowl'dging) `tet ;Name of nn perscacknowledging t'�� e"�� frsrl• a igr+ature of Notary Pub ib-State of Florida $ ($i nature of Notary Public-$tate of Ficrtda) Personal)yxnawn OA Produced ide tification Personally Mnown - ---- oR Produced'dentlHcati n Type cf identiHcatb n Pro cad Type of identification Produced Commission Ido.fi r( 3 {Sei ij Commission No�� f r Revised 07115/2014 I REVIEWS FROM zp{�INCx SUPERVISOR PLANS VEGETAT?Ohl SEATURTLE �iGR VE COUNT R REVIM'' RiViBW REVIEW REVIEW REVIEW E RECEIVED - DATE COMPLETED i ! 1 .