HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/19/2424
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Permit Number:
Building Permit Application
Commercial Residential x
Address: 969 Nettles Blvd Parcel ID # 4502-541-1156-400-6
Property Tax ID #:
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Change out 2 1/2 ton 15.5 seer Rheem heat pump split system 5 kw heater like for like
CONSTRUCTION INFORMATION:
Lot No.
Block No.
Additional work to be performed under this permit –check all that apply:
Mechanical _ Gas Tank _ Gas Piping — Shutters Windows/Doors
— Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 5040.00
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Thomas Deegan
CC3UNTY
F
L
C R I B A
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Permit Number:
Building Permit Application
Commercial Residential x
Address: 969 Nettles Blvd Parcel ID # 4502-541-1156-400-6
Property Tax ID #:
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Change out 2 1/2 ton 15.5 seer Rheem heat pump split system 5 kw heater like for like
CONSTRUCTION INFORMATION:
Lot No.
Block No.
Additional work to be performed under this permit –check all that apply:
Mechanical _ Gas Tank _ Gas Piping — Shutters Windows/Doors
— Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 5040.00
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Thomas Deegan
Name: Vance R Corbin
Company: Dodd Enterprises Inc
Address: 969 Nettles Blvd
City: Jensen Beach State:
Address: 1296 SE Industrial Blvd
Zip Code: 34957 Fax:
City: Port St Lucie State: EI
Phone No. 772-240-8134
Zip Code: 349152 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:
04,V"w- Y_
DESIGNER/ENGINEER:
Name:
Address:
City:
Zip: Phone
Not Applicable
State:
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
BONDING COMPANY:
Name:
Address:
_XNot Applicable
Address:
City:
Name of person making statement.
City:
'"
Zip: Phone:
Personally Known OR Produced Identification
Zip: Phone:
Type of Identification
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 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"
(� &_,L�,
04,V"w- Y_
Signature of owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA,
STATE OF FLORIDA
COUNTY OF
COUNTY OF
Thefor oing instrument was acknowledged before me
The f r ing instrurr�l t was acknowledged before me
this day of � 20 by
LL= -
this day of U 20lb by
Name of person making statement.
Name of person making statement.
'"
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
{Signature of NNtt rel it * }
{Signature of Notary Public- State of Florida )
Notary public State of Florida
CO I O. SLIXf tte- Ritchie �T35i36 al)
Comm I{#RF Notary publac State of Florida /5 1}
l
My Cammi�'
Expires 1X11212021
e tsz
_ t < {plycommissiorrGG135736
of rL
REVIEWS
FRONT
ZONING
SUPERVISOR
PLAN
1
EATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW.
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev..