HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/15/2021 Permit Number:
1�4 [LUCQE ,
O
II L1 W Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address. 2078 Nettles Blvd Parcel ID # 4502-501-0081-000-2
Property Tax ID #:
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Change out 3 1/2 ton 14 seer Bryant st cool pkg unit 8 kw heater like for like
New Electrical Meter
Second Electrical Meter
1.-
Lot No.
Block No. T
I CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors Pond
_ Electric — Plumbing _ Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 4500,00 Utilities: —Sewer —Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Paul Leonard
Name: Vance R Corbin
Company: Dodd Enterprises Inc
Address: 2078 Nettles Blvd
City; Jensen Beach State: _
Address:1296 SE Industrial Blvd
Zip Code: 34957 Fax:
City: Port St Lucie State: FI
Phone No. 937-371-0665
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
State or County License CMC1249958
from the owner listed above)
If 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 CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Y Not Applicable
Name:_
Address:
City:
Zip:
Phone
State:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
Name:
Address:
City: Statee:
Zip: Phone:
BONDING COMPANY: _&Not Applicable
Name:
Address:
City:
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
witn tender or an aTLornev oerore commencing worts yr [MUTU1119 yUU1 IMULI U U1 wrninertLt�tnMtiL.
� IL �n�.
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
Swor o (or affirmed) and subscribed before me of
Physical Prese ce or Online Notarization
yh.193�_ by�- mot. = Y4,
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of Florida )
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Signature of Contractor/License Holder .
STATE OF FLORIDA
COUNTY OF
Swoo o (or affirmed) and subscribed before me of
+� Physical Pres ce or Online Notarization
this i.�' day of by �q
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of Florida )
Commission.No. (Seal) Commission No. Ic al)
r r� Notary Public State oS Florida
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DATE
RECEIVED
DATE
COMPLETED