HomeMy WebLinkAboutBuilding Permit Application Jul 1715 09:28a Dodd Enterprises Inc. 772-335-3310 p.2
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7116/2015 Permit Number:
J-
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Fierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 1183 Nettles Blvd
Legal Description:
Parcel ]D#4502-50i-1370-000-2
Property Tax ID ti: 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 8 kw heater like for like
CONSTRUCTION INFORMATION:
Additional worK to ElasTank
orme un ert ispermit—c ec a appy:
HVAC ❑Gas Piping Shutters ❑Windows/Doors
11 Electric 0 Plumbing []Sprinklers FIGenerator 1:1 Roof
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ 4600.00 Utilities:0 Sewer El Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Rose Sweet Name: Vance R Corbin
Address:1183 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.561-996-6805 Zip Code: 34952 Fax: 335-3310
E-Mail: �!� Phone No. 772-398-2344
ed
Fill in fee simple Title Hol r on next-page(if different E-Mail: doddenterprises@dodd.com
from the Owner listed above) State or County License: CMC 1249958
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
Jul 171509:28a 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: f
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,l 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 our Notice of Commencement.
14
_Signature of Owner/Lessee/Agent Signature of Contractor License Holder
STATE OF FLORIDA 4 STATE OF FLORIDA
COUNTY OF <Z, 4I COUNTY OF C'1
The forgoing instrum t was acknowledged before me The fo going instrume t as acknowledged before me
this day of 20 bCby this l day of 20 by
n,
(Name of person acknowledging) (Name of person acknowledging)
(Signature ofWotary Public-State of Florida) (Signature of rVary Public-State of Florida)
PersonaGy-Known OR Produce ati n Personally Known 1/ OR Produced Iden%ift-atign-., :. ;I -
[ypetifer►ti"ication Pro fill- Type of Identification Producedsuze.,VT 68
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