HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/112020 Permit Number:
91r. luc E
O -
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 380 Nettles Blvd Parcel ID # 4502-501-0566000-6
Property Tax ID #;
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Change out 3 ton 15 seer Rheem heat pump split system 5 kw heater like for like
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit –check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters
— Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 5000.00
Generator
Sq. Ft. of First Floor:
Residential X
Lot No.
Block No.
Windows/Doors i Pond
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Guy Desautels
Name: Vance R Corbin
Address: 380 Nettles Blvd
Company: Dodd Enterprises Inc
City: Jensen Beach State:
Zip Code: 34957 Fax:
Phone No. 954-294-1215
Address: 1296 SE Industrial Blvd
City; fort St Lucie State: FI
Zip Code: 34952 Fax: 335-3310
Phone No 398-2344
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail doddenterprises@dodd.com
State or County License CMC1249958
It value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL i flNUCT[ON LIE .:
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DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name:
Swo (or affirmed) and subscribed before me of
Name:
Address:
Physical Prese ce or Online Notarization
this � day of 2020 by
t ) 4
Address:
City:
State:
City: State:
Zip: Phone
Produced
Zip: Phone:
FEE SIMPLE TITLEHOLDER:
„X Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Commission No. eal)
!Name:
Address:
RExi�rTvzoz
Address:
City:
SUPERVISOR
REVIEW
City:
Zip: Phone:
Zip: Phone:
OWNED/ 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 do -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] 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, wails, 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with tender or an attornev before commencing work or recording vour Notice of Commencement_
I/ ,
I 94-�—Ce— IL (204 --
Signature of Contractor/License Holder
Signature of Owne Lessee/Contractor as Agent for Owner
STATE OF FLQRIDASTATE
COUNTY OFT ��C
OF FLORIDA
COUN'T'Y OF
Swo (or affirmed) and subscribed before me of
Swar o (or affirmed) and subscribed before me of
��—s Physical Prese ce or Online Notarization
this day of ;- 2020 by
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VV ■ - y ew - A t
Physical Prese ce or Online Notarization
this � day of 2020 by
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Name of person making statement.
Personally Known �'/ OR Produced Identification
Name of person making statement.
Personally Known V OR Produced l8entification
Type of identification
Type of Identification
Produced
Produced
(Signature of Notary Public- State of Florida }
(Signature of Notary Public- State of Florida }
Commission No. al)
Commission No. eal)
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DATE
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DATE
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