HomeMy WebLinkAboutBuilding Permit Application Jun 3U1508:58a Dodd Enta
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION to BE ACCEPTED Date: 06/29/2015 PermitNumber:- . iM, . o&0_A0 Building Permit Application Planning and DevelopmentServices Buildffig and Code Regulation Division 2300 Virginia Avenue,F6ft Pierce FL 34982 Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residehtial X PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROVEMENT LOCATION:Addre,,s: 428 Nettles Blvd Legal Description:Parcel IDA 4502-501-0614-000-8 Property Tax ID#: Lot No.-Site Plan Name: Block No.Project Name:Setbacks Front Back: Right Side; Left Side:F�EMA ILED DESCRIPTION OF WORK:Change out 3 ton 13 seer Carrier Bryant st cool pkg unit 8 kw heater like for like CONSTRUCTION INFORMATION:Additional work to be erformed unaer this permit—check all that apply:HVAC Gas Tank F]Gas Piping 0 Shutters Windows/Door's L Total Sq.Ft of Construction: SQ.Ft.of First Floor:Cost of Construction:S 3500.00 Utilities:F]SewerF—]Septic Building Height:OWNERAESSEE: CONTRACTOR;Name Joseph Upani Name: Vance R Corbin Address:428 Nettles Blvd Company. Dodd Enterprises Inc City: Jensen Beach State:171 Address: 1296 SE Industrial Blvd-Zip Code: 34957 Fax: City: Port St Lucie State:Fl Phone No.772-349-2986 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: doddenterpCises@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.
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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.Lucie County makes no representation that is granting a-permit will authoriz6 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,
accessary 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 j STATE OF FLORIDA
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