HomeMy WebLinkAboutBuilding Permit Application May 2015 08:35a Dodd Enterprises Inc. 772-335-3310 p.2
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 05/19/2015 Permit Number: V l�
•
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34952
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address• 2119 Nettles Blvd
Legal Description:
Parcel ID#4502-501-0122-000-2
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 3 ton 13 seer Carder Bryant st cool pkg unit 8 kw heater like fo like
CONSTRUCTION INFORMATION:
AdOrtional work to ff
Orme un er t is permit—c ec a appy:
HVAC Gas Tank Gas Piping ❑OGenerator
Shutters Windows/Doors
Electric ElPlumbing Sprinklers Roof
Total Sq.Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 3500.00 Utilities.. ElSeptic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Susan Bean Name: Vance R Corbin
Address:2119 Nettles Blvd Company Dodd Enterprises Inc
LLinfee
en Beach State:Ff Address: 1296 5E Industrial Blvd
: 34957 Fax: City: Port St Lucie State:Fl
.732-991-3638 Zip Code: 34952 Fax: 335-3310
Phone No. 398-2344
simple Title Holder on next page(if different E-Mail: doddenterprises@dodd.com
Owner listed above) State or County License: CMC1249958
construction is$2500 or more,a RECORDED Notice of Commencement is required.
May 20 15 08:35a Dodd Enterprises Inc. 772-335-3310 p.3
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNERIENGINEER.- X Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER: 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 which may apply.
In consideration of the granting of this requested permit,l do hereby agreethat 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
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 lender or an attorney before
commenciniz work or recording our Notice of Commencement.
—Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFCOUNTY OF
The fo oing inst ume t was acknowledged before me The forgoing ins ent was acknowledged before me
this day of 44 20 Eby this day of 20 td"by
(Name of person acknowledging) (Name of person acknowledging I
(Signature of Notary Public-State of Florida} (Signature of Not ry Public-State of Florida)
Persgn'aliyr IGriQ M OR Produced tddntificatior Personally Known OR Produced,lderttj�catForr
it
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