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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPL&ED FOR APPLICATION TO BE ACCEPTED Date: 7/3/2017 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 Commercial Residential X PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 199 Nettles Blvd Legal Description: Parcel I D # 4502-501-0385-000-3 Property Tax 1D #: Site Plan Name: Project Name: Setbacks Front Back: DETAILED DESCRIPTION OF WORK: Right Side: Left Side: Change out 3 ton 14 seer Payne st cool pkg unit 8 kw heater like for like Lot No. Block No. CONSTRUCTION INFORMATION: Acid itional. work to be Derformed under t ispermit --check all appy: HVAC LJ Gas Tank E]Gas Piping Shutters E]Windows/Doors 11 Electric ❑ Plumbing Sprinklers Generator ❑ Roof Roof pitch Total Sq. Ft of Construction: 5 Ft. of First Floor: _ Cast of Construction: $ 3800.00 Utilities:12 Sewer 0 Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Gail Kathrens Name: Vance R Corbin Address: 199 Nettles Blvd City: Jensen Beach State: Fl Zip Code: 34957 Fax: Phone No. 407-312-6040 E -Mail- Fill in fee simple Title Holder on next page (if different from the Owner listed above) Company: Dodd Enterprises Inc Address: 1296 SE Industrial Blvd City: Port St Lucie State: Fl Zip Code: 34952 Fax: 335-3310 Phone No. 398-2344 E -Mail: doddenterprises@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 NotApplicable 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 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 works or recording vour Notice of Commencement. !/Contractor as Agent for Owner STATE OF FLORIDA e COUNTY OF The forgoing instrcknowledged before me this day of 2011 by (Name of person acknowledging) (Signature of Notary` Public- State of Florida ) Personally Known " OR Produced Identification Type of Identifi SUZETTE RITCHIE Commission No. .,�� �N #FF0k5@@h T ,riRES December 12, 2017 evisec E �L014 Signature of ContractorJlicense Halder STATE OF FLORIDA {� q COUNTY OF The forgoing instrume wa acknowledgedJbDfore me this�dayof �207by A' Il - 'KA—c-. (Name of person acknowledging) (Signature of Notary Public- State of Florida ) Personally Known iIJ OR Produced Identiftckfion Type of Identification Produced - Corym_fs'ig�n n. SUZETTE RITCHIE(S al):: " My COMMISSION #FF0618M3 N ' (407) 398 0153 FloridaNataryService.ccm s $RONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUl uTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW C©NIPLEfiE-' .' - INITIALS s