HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/23/2020 Permit Number:
1�i7
Building pp 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
Residential X
PERMIT APPLICATION FOR: Mechanical J
PROPOSED IMPROVEMENT LOCATION:
Address: 725 Nettles Btvd Parcel ID ## 4502-601-0911-000-0
Property Tax ID #:
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Change out 3 ton 14 seer Payne st cool pkg unit 8 kw heater like for like
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.
Stock No.
Additional work to be performed under this permit— check all that apply:
Mechanical Gas Tank —Gas Piping —Shutters Windows/Doors _ Pond
— Electric _ Plumbing — Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 4500.00
Generator Roof Pitch
Sq. Ft. of First Floor.
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Shelbie Tidd
Address: 725 Nettles Blvd
Name: Vance R Corbin
Company: Dodd Enterprises Inc
City: Jensen Beach • State: -
Zip Code: 34957 Fax:
Phone No. 772-349-2987
Address:1296 SE Industrial Blvd
City: Port 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
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,5W or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
_X_ Not Applicable
MORTGAGE COMPANY:
Name:
Address:
Not Applicable
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
Not Applicable
BONDING COMPANY:
Name:
VNot Applicable
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.
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 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 lender or an attorney before commencing work or 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
OF
STATE OF FLORIDA�
COUNTY OF r '
COUNTY
Sword (or affirmed) and subscribed before me of
Sw,or W (or affirmed) and subscribed before me of
l/ P ysical Presence or Online Notarization
this day of 2020 by
Physical Prese ce or Online Notarization
this � day of 12020 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 Notary Public- State of Florida)
(Signature of Notary Public- State of Florida )
Commission No. S
Commission No. (Seal)
Notary Public State of Florida
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REVIE,�E�,2rsj
135736
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SUPERVISOR
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ANGROVE
REVIEW
REVIEW
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REVIEW
DATE
RECEIVED _
DATE
COMPLETED
Rev. 5/6/20