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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 9/18/2018 Permit Number: a 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: 1214 Nettles Blvd Legal Description: Parcel ID # 4502-501-1401-000-9 Property Tax ID #l: Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Change out 3 ton 14 seer Payne st cool pkg unit 8 kw heater like for like CONSTRUCTION INFORMATION: Additional work to j rtormed under this permit — check a appy: nn L_IHVAC LJ Gas Tank ❑Gas Piping Shutters Windows/Doors Electric IJ Plumbing O Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: _ Cost of Construction: $ 4000.00 SgFtj of First Floor: _ Utilities: L_I Sewer L_ Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Maria Traverse Name: Vance R Cobin Address: 1214 Nettles Blvd City: Jensen Beach State: FI Zip Code: 34957 Fax: Phone No. 864-554-9120 Company: Dodd Enterprises Inc Address: 1296 SE Industrial Blvd City: Port St Lucie State: EI Zip Code: 34952 Fax: 335-3310 Phone No. 39812344 E -Mail: doddenterprises@dodd.com E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) 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: Not Applicable Name: MORTGAGE COMPANY: Not Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable Name: BONDING COMPANY: Not Applicable Name: Address: Address: City: Zip: Phone: City: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. 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 tender or an attorney before commencing work or recording your Notice of Commencement. U&A^__e-c Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDASTATE -4 OF FLORIDA COUNTY OF , COUNTY OF The for ing instrument vias afknowledgerlbefore me `Ls�J�NJ� �6y Thef r ing instru en as acknowledged fore me this day Eby this day of 20 of '20 VC -Name of pers"aking statement Name of pers"o king statement L/ Personally Known �V/ OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Notary Public- State of Florida (Signature of Notary Public- State of Florida ) COm.� , d„nate of Florida�Se Ritchie COmmi Y „_. r. oto- lic Stu4E of FlnCidSe Ritchie r° 5uxette GG 135736 Suzette GG 136738 K My Commission %' ` es 12117J2021 Rygy C©mmsssion ^ re5 1211212021 REV] RONT ZONING SUPERVISOR PLANS G TATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE z RECEIVED DATE COMPLETED Rev. 8/2/17