HomeMy WebLinkAboutSUBMITTED PAPERSJan 06 15 10:59a Dodd Enterprises Inc. 772-335-3310 p.2
ALL APPLICABLE INFO MUST BE COMPLETkO FOR APPLICATION TO BE ACCEPTED
Date: 1/5/2015 SCANNED Permit Number: /"�-o
By
St. Lucie County
Building Permit Application
Planniny and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residentia I X
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT Q)CATION:
Address: 758 Nettles Blvd
Legal Description:
Parcel IDA 4502-501-094A-006-0
Property Tax ID #:
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No. —
Block No.
I DETAILED DESCRIPTION OF WORK: i
Change out 3 ton 15 seer Frigidiaire st cool pkg unit 8 kw heater like for like
CONSTRUCTION INFORMATION:
I
Additional work to be nertormed under this permit— check
Ehas
all
apply:
L
FIVAC
Tank
7Gas Piping
Shutters
Windows/Doors
[]Electric 0 Plumbing
OSprinklers
Generator
Roof
Total Sq. Ft of Cc nstruction,
300D.00
5 . Ft. f First Floor:
E]Septic
Cost of Construction: $
Utilities:11
Sewer
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name John Johnson
Name: Vance R Corbin
Address: 758 Nettles Blvd
Company: Dodd Enterprises Inc
city: Jensen Beach State: FI
Zip Code: 34957 Fax:
Phone No. 772-229-1623
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 an next page ( if different
from the owner listed above)
E-Mail: doddenterprises@dodd.cc)m
State or County License: CMC1249958
if value of construction is $2500 or more, a RECORDED Notice of ornmencement is required.
Jan 06 15 10:59a Dodd Enterprises Inc.
772-336-3310 p.3
i-
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
I
DESIGNER/ENGI NEER: x NotApplicable
Name:
MORTGAGE COMPANY: x NotApplicable
Name:
Address:
Address:
City: State: _
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TIT LE HOLDER: x NotApplicable
Name:
BONDING COMPANY: x NotApplicable
Name:
Address:
Address:
City:
City:
Zip- Phone:
Zip: Phone:
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 rule�, 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
inn provements to you r property. A Notice of Commencement must be recorded an d posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencin-e work or recordina vour NotIce, of Commencement.
4 C-LX / W k AnfL&d
Sio6ature- of Own er/ Agent/ Lessee SilTnature"of Contractor/License Holder
STATE OF FLORIDAnd STATE OF FLORIDA
COUNTY OF COUNTY OF
The forgoing instrLiment was acknowledeedbefore me The fo�gpiing instruyent was acknowledudPefore me
this "J_ day of this 'S day of LA&Aj4 202)�L by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Not4o Public- State of Florida
Personally Known —OR Prod u�,ced�n
_f7
Type of.I,derWfffdJq,?n Pro) uce —LJI=
SU
-_AY COMMISSIO eF
017
:-I— to' '�D(PIFIES December 12.2
at *--P�uz
iSignature of Kota Pub[ . c- State of Florida
Personally Known e den ication
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rLpr qC
Type of n r.
MY
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DATE
COMPLETE
INITIAI S
Jan 06 15 10:69a Dodd Enterprises Inc.
772-335-3310 P.1
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
ORT PIERCE, FL 34982
WIM'Fi'771"� 772-462-1553
FAX 772-462-1578
AUTHORIZATION FORM FOR CREDIT CARD PAYMENT
TO: St Lucie County
RE:
Permit #
Credit Card Users., 1.5% Surcharge addedper trai7sacVO17.
Payments, must be received in this department by 4:00 PM for transaction to be
processed that day, if not it will be processed the following business day.
We -'VISA MASTERCARD
Credit Card Number qa6�, 13�j OB-7 96S-�-
Expiration Date I =1 Z!pCode
3 digit security codq -
Amount $ FAAW, 4��— + 1.50/a surcharge
Business Name: r j'5e-S ---EA
Authorized Signature:
r
PrintNarne: vo'xce- r.— Corki'A
Phone: GiL) 359- - ;IL3L/1�
Fax: (2:15- ) '33 5- -3� 1
Comments:
se- -f�y, �Yck wiiAII%+
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SLCPDSD Revised 410112010 EN