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HomeMy WebLinkAboutBuilding Permit Application Jun 03 1608:37a Dodd Enterprises Inc. 772-335-3310 p.2 ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I f Date: 0610212015 Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 230.0 Virginia Avenue,Fart Pierce FL 34982 Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential x PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 697 Nettles Blvd Legal Description: Parcel ID#4502-501-0883-000-4 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 ton 16 seer Rheem st cool split system 5 kw heater like for like CONSTRUCTION INFORMATION: Additional work to MGasTank Orme un ert ispermit—c ec a appy: 11HVAC ❑Gas Piping _5hutters Q Windows/Doors Electric a Plumbing []Sprinklers Generator o Roof Total Sq.Ft of Construction: S .Ft.of First Floor: Cost of Construction:$ 4500.00 utilities:Sewer aseptic Building Height: OWNERAESSEE: CONTRACTOR: Name Carol McNeil Name: Vance R Corbin Address:697 Nettles Blvd Company: Dodd Enterprises Inc City: Jensen Beach State:R Address: 1296 SE industrial Blvd Zip Code: 34957 Fax: City. Port St Lucie . State:FI Phone No.772-229-7498 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: doddenterpdses@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. Jun 0315 08:38a 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: City: ` Zip: Phone: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. St.LuciejCounty makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in confllict 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,I do hereby agree that I wilt,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 commencing work or recording our Notice of Commencement. Signature of Owner/Lessee/Agent Signature of Contractorfl ieense Holder STATE OF FLORIDA oRIDA OUNTYOF �� COUNTYOF �f. � The for oing instru nt was acknowledged before me Thefoyr���ing instrum nt was acknowledged before me this day of rC. . 20 -<by this iy day of 20 1 by n (rrame of person acknowledging) (Name of person acknowle ing) ( bitatur�of Nn±a ublic-State of Florida) (Signature of Not.W Public-State of Florida Personally Known OR Produced:Identifi'aTiQn Personally Known �OR Produced-Identifiicatior•, ' - :Type iif tdentifica�ri Traduced Type of Identification Ifroduced ',Cprrlmis o P��. SUZETTE RIT Com ssi ciYt ;, SUZETTE RITCHI�e I} aaw FF061866 :rr n's _ My COMMISSION , MY CONMISSlON FFC61868 22017 ' 1 7 yrs a i�d!'- '••,F oc t„•' ReVI&@ FloridaNOWYServlce.com F laOT,3@9.01&! FlodduNyta uerviae.cam REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS