HomeMy WebLinkAboutBuilding Permit Application Apr 21 1510:34a Dodd Enterprises Inc. 772-335-3310 p.2
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 04/2012015 RECEIVED AN 2 6i it Number. 15 o +a 3 ti4t
14-i ii
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 1285 Nettles Blvd
Legal Description:
Parcel ID#4502-501-1472-000-7
Property Tax ID#: Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Change out 2 112 ton 16 seer Rheem st cool split system 8 kw heater like for like
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—check a apply:
HVAC O-Gas Tank E]Gas Piping _Shutters L]Windows/Doors
Electric 0 Plumbing Sprinklers 1:1 Generator E] Roof
Total Sq.Ft of Construction: Srl.Ft.of First Floor:
Cost of Construction:$ 4500.00 Utilities: Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Rowena Roach Name- Vance R Corbin
Address:1285 Nettles Blvd Company: Dodd Enterprises Inc
City: Jensen Beach State:FI Address: 1296 SE Industrial Blvd
Zip Code: 34957 Fax: City: Port St Lucie State:FI
Phone No. 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
from the Owner listed above) State or County License: CMC1249958
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
Apr 21151U:34a Dodd Enterprises Inc. 772-335-3310 p.3
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGN ER/ENGINEER: x NotApplicable MORTGAGE COMPANY, x Not Applicable
Name: Name:
Address: Address:
City: State: City-, State:
Zip: Phone- Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable
Name: 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 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 v�hich 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 paiffing twice for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing,consult with tender or an attorney before
commencing work or recording your Notice of Commencement.
Signature of Owner/Lessee/Agent styvature of Contn
STATE OF FLORIDA ,1, 6 STATE OF FLORIDA
The forgoing instrumQnt was acknowledged b
,ofore me The forgoing instrurnent was acknowledged before me
this;LD day of PJ 20 A�J_by thisiPdayof 20 by
(Name of person acknowledging) (Name of person acknowledging I
(Signalore of Notary PuVic-State of Florida (Signature of Notary'rublic-State of Florida)
Personally Knownv---- OR Produced IdentI616IJ-0-131
FIAT
5 5FO6,561 all Commission No.
17
(401)301
REVIEWS FRONT ZONING SUPERVISOR PLAkr— VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW RMEW REVI[EW REVIEW REVIEW
DATE
COMPLETE
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