HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONApr 1015 08:59 1 Dodd Enterprises Inc. 77""35-3310 p.2
i
ALL APPLICA2015B
: .
E INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
I
0410�9l
LLVy
Permit Number: I�7�� WJ i
Date:
SCANNED
V - . I�
,
.{. BY REC E W
Lucie County
-
Planning an
Building Permit Application .APR 19 2015
(D;evelopment Services
Building an ,
Code Regulation Division
2300 Virgin ra�Avenue,
Phone: (772
II
Fort Pierce FL 34992
4fi2-1553 Fax: (772) 462-1578 Commercial Residential X
PERMkT IR
ILICATION FOR: Mechanical j
PROI?OSE
IMPROVEMENT LOCATION: i
Address: 27
Nettles Blvd
I
Legal Description:
Parcel ID #',I
502-501-0461-000-0 1
Property Ta
IDS #: Lot No.
Site Plan Na'
a Block No.
Project Name
roInt Back: Right Side: Left Side:
II
Setbacks
I!i
DETAILEDDESCRIPTION
OF WORK:
Change o
I
h,
i
i
ton 13 seer Payne st cool pkg unit 8 kw heater like for like
I
CONSTRI
ION INFORMATION:
AdditionalK
II
E]HVAC
to be performed urt er t is permit— check all app y:
[]Gas Shutters Q Windows/Doors 1
? _ Gas Tank Piping
0 Elect'r
c Plumbing Sprinklers Generator Roof
i
Total Sq. Ft '
f Construction: S . Ft. of First Floor:
Cost of Con
ruction: $ 4000.00 Utilities:�Sewer Septic Building Height:
OWNER/L
SSEE:
CONTRACTOR:
Name Georg�!Bouma
Name: Vance R Corbin
Blvd
Address: 27&Nettles
Company: Dodd Enterprises Inc
City: Jensel
Beach State:FI
Address: 1296 SE Industrial Blvd
City. Port St Lucie State: FI
Zip Code:
.957 Fax:
Phone No. �
9!0133
Zip Code: 34952 Fax: 335-3310
E Mail:
Phone No. 398-2344 1
L
l
Title Holder on next page [ if different
Fill in fee simple
E-Mail: doddenterprises@dodd.com
State or County License: CMC1249958
from the O
wner
listed above)
If value of co
i
I-
'struction
is t2500 or more, a RECORDED Notice of Commencement is required.
Apr 10 15 09:00 Dodd Enterprises Inc.
r
77",` ` 5-3310 p.3
SUPRLEMI�
TAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
Address:
City:
Zip:
I
x Not Applicable
MORTGAGE COMPANY: x Nat Applicable
Name:
Address:
City: State:
Zip: Phone:
± State:
Phone:
,
FEE SIMPL
Name:
Address:
City:
Zip:
TITLE
HOLDER: x Not Applicable
BONDING COMPANY: x Not Applicable
Name:
I
Address:
i
City:
I Phone:
Zip: Phone:
I certify that
St. Lucie Cour
which is in co
structure. Pie
In considerati
in accordance
The following
accessory stn
WARNING
improvemE
before the
ccmmencir
.n6i, '—,
STATE OF
COUNTY I
The
this
(Name of
,ork or installation has commenced prior to the issuance of a permit.
rakes no representation that is granting a permit will authorize the permit holder to build the subject structure
:with any, applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibitisuch
:onsuit with your Home Owners Association and review your deed for any restrictions which may apply.
f the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
i the approved plans, the Florida Building Codes and St. Lucie County Amendments.
ding permit applications are exempt from undergoing a full concurrency review: room additions,
es, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for,
to your property. A Notice of Commencement must be recorded and posted on the jobsite
inspection. If you intend to obtain financing, consult with lender or an attorney before i
,ork or recording your Notice of Commencement. _
Lessee/Agent
acknowledged afore me
, 20 l N by
u�
n iacknowledging )
(Signatu _oil �loterylfublic- State of Florida )
II
Pcvanaliy Krr nrrr �OR Produced Identifical
Typp pf Ide
�_9l1ZEi�T
`6nu dsip •. _ Y commis -slop
`; " rr _ `PJ(PIFIE5 December 12, 2017
Xe�isd Q?�il/2Q14 .
ntractor/License Holder
STATE OF FLORIDA,,
COUNTY OF FLORIDA,,
WA
The for rng instrurqent was acknowledged before me
this ay of 20 l l" by
(Name of person acknowledging)
(Signature of No Public -State of Florida )
Personally Known OR•Produced Identification" ---------
Type of Identification Produced
sLIZETTE AITCJJkV1)
MY coft156I0N OFF061e6A
REVIEWS I
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS