HomeMy WebLinkAboutBuilding Permit Application (2) May 0515 08:52a Dodd Enterprises Inc. 772-335-3310 p.2
ALL APPLICABLE INFO MIDST BE COMPLETED FOR APPLICATJON TO BE ACCEPTED W- 5 n
Date: 51412015 Permit Number: I W�
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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: 113 Nettles Blvd
Legal Description:
Parcel ID#4502-501-0299-000-3
Property Tax ID#: Lot No.
Site Pian Name: Block No.
Project Name:
Setbacks Front Back:- Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Change out 3 ton 13 seer Carrier Payne st cool pkg unit 8 kw heater like for like
CONSTRUCTION INFORMATION:
Additional work to UGasTank
Orme un ert is permit—c ec a app y:
HVAC ❑Gas Piping Shutters a Windows/Doors
Electric Plumbing Sprinklers Generator Roof
Total Sq.Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$ 3800.00 Utilities Sewer USeptic Building Height:
OWNERAESSEE: CONTRACTOR:
Name David Wiest Name: Vance R Corbin
Address:113 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.701-866-9374 Zip Code: 34,952 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 Rmoiznm Nacce of Commencement is required.
May 0515 08:52a Dodd Enterprises Inc, 772-335-3310 p,3
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable 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:
p Phone: Zip:_City:
ZPhone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie Count makes no representation that isgranting a permit will authorize the permit holder to build the subject structure
which is in convict with any applicable Home Owners Association rules,bylaws orand 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 1 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,walis,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
-commencing work or recording our Notice of Commencement.
_Signature of Owner/Lessee/Agent S4Malure of Contractor/License Holder
STATE OF FLORID STATE OF FLORIDA
COUNTY OF UL Ext- COUNTY OF i 4w,
The forgoing instrume t was acknowledged efore me The fo instrum nt was acknowledged before me
this day of . 20 i-by this day of ZOl�by
(Name of person acknowledging) (Name of person acknowledging)
_i at:-fe i f frdtary Public- ate of Florida) (Signature of Notary P is-State of Florida)
Pat3onally r.Aowk; V OR Produced identification Personally Known OR Produpgd jd ifi'a$ign.' "
inY{L.}{,� ��!(��r�" n Produced Type of Identiflcatiq�Jl� ed'; � k �
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