HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/1312017
F L 6 R [ U a+,
Permit Number:
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
Address: 10044 S. Ocean Dr. #x`-908
Legal Description:
Parcel I D # 4502-804-0072-000-6
Property Tax ID #.-
Site
:
Site Plan Name:
Commercial Residential X
Project Name:
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
11 DETAILED DESCRIPTION OF WORK: I
Change out 2 ton 15 seer Rheem st cool split system 5 kw heater like for like
CONSTRUCTION INFORMATION:
Additional work toe e orme under t—checkispermit a appy:
HVAC 11 Gas Tank []Gas Piping _ Shutters Q 1Nindows/boors
11 Electric ❑ Plumbing Sprinklers Generator 1:1 Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 4500.00
S Ft. of First Floor: _
Utilities:Sewer ElSeptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Jean Francois Guerette
Name: Vance R Corbin
Address:10044 S. Ocean Dr. #908
Company: Dodd Enterprises Inc
Address: 1296 SE Industrial Blvd
City: Jensen Beach State: Fl
Zip Code: 34957 Fax:
Phone No. 613-223-9230
City: Port St Lucie State: Fl
Zip Code: 34952 Fax: 335-3310
Phone No. 398-2344
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: doddenterpdses@dodd.com
State or County License: CMC1249958
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name:
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: x Not Applicable
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 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 first inspection. If you intend to obtain financing, consult with lender or an attorney before
commenciniz work or recordine your Notice of Commencement.
_ � y° �J
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA ��
COUNTY OF
Thefor Ding instrum t was acknowledged before me
this _tday of Z 20 Jq by
.. s
Signature of Contractor/License Holder
STATE OF FLORIDA 14,utclt'
COUNTY OF
The forgoing instrurppnt was acknowledged before me
this 1.7) day of 20]_!t_ by
ILL
(Name of person acknowledging) (Name of person acknowledging)
s
(Signature of Notary Public- State of Florida }
Personally Known OR Produced Identification
Type of Identification Produce
SUZeTTE >FIITC'MlE
CommisF-t'l
g`�ON #FF(f63��e
* MY
°p FxP4R S December 12" 2017
(Signature of Notary Public- State of Florida )
Personally Known OR Produced IdentificatioTi
Type of Identification Produced -
Commission No. (Seat]
,` My Cc)mMISSION 0FF081MO
3
EXPIRES 0eti4rt'iborl2,2diy .• 4�_•--,�..--'�.
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