HomeMy WebLinkAboutBuilding Permit Application Jun 051508:51a Dodd Enterprises Inc, 772-335-3310 p.2
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 0610412015 Permit Number: 1/ l�
s=J IJ
AZW
W.
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Aver)ue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 10725 S.Ocean Dr #131
Legal Description:
Parcel ID#4511-501-0351-000-4
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 3 tan 13 seer Carrier Payne st cool pkg unit 8 kw heater like for like
CONSTRUCTION INFORMATION:
Additiorial worK TO e errormed under this permit—c ec a appy:
HVAC Gas Tank r]Gas Piping _Shutters ❑Windows/Doors
Electric Q Plumbing Sprinklers Generator F]Roof
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ 3500.00 Utilities:Sewer OSeptic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Robert Gamayo Name: Vance R Corbin
Address:10725 S.Ocean Dr. 9131 Company: Dodd Enterprises Inc
City: Jensen Beach State:F: Address: 1296 SE Industrial Blvd
Zip Code: 34957 Fax: City: Port St Lucie State:EI
Phone No.786-306-0521 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.c:vm
from the Owner fisted above) State or County License: CMC1249959
If value of construction is$2500 or more,a RECORDED Notice of Commencement Is required.
Jun 051508:51a Dodd Enterprises]no, 772-335-3310 p.3
SUPPLEMENTAL CONSTRUC710N LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY. x Not Applicable
Name: Name:. 1 11
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 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
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 your Notice of Commencement.
S
Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA r4 STATE OF FLORIDA
COUNTY OF COUNTY OF Ut ue,
The forgoing iinstrurneq was acknowledged bef eme The for ing instrqm4nt was acknowledged before me
this day of 1,4j 20 acknowledged
this "godayof 20
4:�LL ZL2
(Name of person acknowledging) (Name of person acknowledging)
(Signature ONo N
of
f P blic-State of Florid (Signature of Notary Publ' tate-o—f.P'o-Q5
OL
Personally Known y, 0r erg Personally Known ORP roelatle5eZ61 i6n
C,
tion p Type of Ident"ficati
Type of identification 11 ion P avre -0 -,A5,
SvA�,
",MIS 7�
Commissi ev
e
1 QgfsR,601-149-
Revis
.�7
FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
-_ - .--._ . --d0UNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS