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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 6126/2017 Permit Number: w " 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 X PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 2144 Nettles Blvd Legal Description: Parcel ID # 4502-501-0147-000-3 Property Tax I D ##: Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Change out 2 112 ton 14 seer Payne st cool pkg unit 5 kw heater like for like Lot No. Block No. CONSTRUCTION INFORMATION: Additional work toe performed under this permit - check a appy: HVAC El Gas Tank F]Gas Piping _ Shutters Q Windows/Doors 11 Electric 11 Plumbing Sprinklers ElGenerator 11 Roof Roof pitch Total Sq. Ft of Construction: Cost of Construction: $ 3800.00 S Ft. of First Floor: _ Utilities:cn Sewer 0 Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Gary Cabral Name: Vance R Corbin Address: 2144 Nettles Blvd Company: Dodd Enterprises Inc Address: 1296 SE Industrial Blvd City: Jensen Beach State: Fl Zip Code. 34957 Fax: Phone No. 401-954-4975 City: Port St Lucie State: FI 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: doddenterprises a@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: Address: City: BONDING COMPANY: x Not Applicable Name: Address: 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 commencinIa work or recording; your Notice of Commencement. Iv 1' y(f'1 Signature of Owner/Lessee/Contractor as Agent for Owner STATE OF FLORIDA, COUNTY OF i The forgoing instrum nt was acknowledged before me this day of 20 4by (Name of person -acknowledging) (Signature of Notary Public- State of Florida ) Personally Known V OR Produced Identification Type of Identification Produced Co(nmgssron Nab (Seal) _Revised }k = �nY com orl # i2, 20A7 '4131c, December \.J illi ] � 61 -0 s Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF r The forgoing instrume t was acknowledged before me this � day of 20 4 by 61 &L (Name of person acknowledging) • - ti (Signature of Notary Public- State of Florida'-)- - Personally Known OR Produced Id0V,.1cati0d ­. Type of Identification Produced - 4 +r _ Commission No. (Seal) =a1°� SUZETTE RITC HIE € MY CoMM1SSIQN *F n '' - ` ' "- re of t`.^`•• p� ridallotatYi$eN yrsnr * �+� �;�g�l�E6 ��� rill�94' `�, �Ci17 _ Pxi VIES oz) ING SUPERVISOR PLA $ao�t �' 1. fa ET oto F ,Tt'PATLE --REVIEW MANGR©VE •OUNTER REVIEW REVIEW REVIEW DATE COMPLETE INITIALS