HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 0/1 01201 9 Permit Number:
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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 TYPE: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 892 Nettles Blvd Parcel ID # 4502-501-1078-000-5
Property Tax ID #:
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Change out 2 1/2 ton 16 seer Rheem 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
T Electric __._ Plumbing _ Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 4800.00
_ Generator
Sq. Ft. of First Floor:
Lot No.
Block No.
_ Windows/doors
Roof Pitch
Utilities: —Sewer ___.Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Thomas Postmus
Name: Vance R Corbin
Address: $92 Nettles Blvd
Company: Dodd Enterprises Inc
City: Jensen Beach State:
Zip Code: 34957 Fax:
Phone No. 616-581-4025
Address: 1296 SE Industrial Blvd
City: Port St Lucie State: A
Zip Code: 34952 Fax: 335-3310
Phone No 398-2344
E -Mail doddenterprises@dodd.com
State or County License CMC1249958
E -Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
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:
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DESIGNER/ENGINEER:
Name:
Address:
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
State:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
BONDING COMPANY:
Name:
Not Applicable
Address:
City:
Zip: Phone;
-
Address:
AJ-e�
City:
Name of person making statement.
Zip: Phone:
Personally Known _Iz�OR Produced Identification
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 any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult vAth 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."
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Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA C
OF �l C��C
STATE OF FLORIDA
COUNTY OF 1461,
COUNTY C_`,_- _-- _-----
The f rgoing instrume t was acknowledged �before me
The forgoing instr en ver s acknowledged before me
Ii
this day of 20 l by
this l6 day of 20 by
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Name of person making statement.
Name of person making statement.
Personally Known _Iz�OR Produced Identification
Personally Known Il--' 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 )
Commission No. (Seal)
Commissio Seal]
Notary 7��. Sint* of Flpftj
REen+gn3on
stateo0g=MG
SUPERVISOR
PLANS4�E,^A;AW5AA4vNw%1EVIEW`
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ISSN RTLE NGROVE
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REVIEW
REVIEW
DAT � F�C om
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REC n
DAT
COMPLETED
Rev. 2/7/19