HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 712i2019 1 Permit Number:
ILSLO141111
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Building Permit Application
PERMIT TYPE: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Commercial Residential X
Address: 2052 Nettles FJIvd Parcel ID # 4502-501-0055-000-1
Property Tax 1D #:
Site Plan Name: _
Project Name: _
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: I
Change out 3 1/2 ton 15.5 seer Carrier st cool split system 8 kw heater like for like
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical Gas Tank _ Gas Piping — Shutters _ Windows/Doors
__.. Electric _ Plumbing — Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 5800.00
Sq. Ft. of First Floor:
Utilities: ,Sewer Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Mark Damanti
Name: Vance R Corbin
Company: Dodd Enterprises Inc
Address:2052 Nettles Blvd
City: Jensen Beach State: _
Addres5:1296 SE Industrial Blvd
Zip Code: 34957 Fax:
City: fort St Lucie State: Fl
Phone No. 772-486-4354
Zip Code: 34952 Fax: 335-3310 -
E-Mail:
Phone No 398-2344
Fill in fee simple Title Holder on next page ( if different
E-Mail doddenterprises@dodd.com
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.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City: ,
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 apy 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA j
COUNTY OF 01V
COUNTY `
The forgoing instru en was acknowledged before me
this � day of 20A by
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The forgoing instru en was acknowledged before me
this day of .20( ' by
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Name of person makingstatement.
Name of person making statement.
Personally Known OR Produced identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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REVIEWS
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PLANS
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SEA TURTLE
MANGROVE
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REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE •,
COMPLETED
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