HomeMy WebLinkAboutBuilding Permit Application Jul 18 1509:06a Dodd Enterprises Inc. 772-335-3310 p.4
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
07/1712015
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulotion 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: 686 Nettles
Legal Description:
Parcel ID#4502-501-0872-000-4
Property Tax LD#: Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Change out 3 ton 13 seer Bryant st cool pkg unit 8 kw heater like for like
CONSTRUCTION INFORMATION:
Additional work to be pertormed under this permit—check all apply:
1]HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
QElectric Plumbing Sprinklers F Generator 1:1 Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 3700.00 Utilities: Sewer FSeptic Building Height:
OWNERf LESSEE: CONTRACTOR:
Name Scott Wardell Name: Vance R Corbin
Address:686 Nettles Blvd Company: Dodd Enterprises Inc
City: Jensen Beach State:F1 Address: 1296 SE Industrial Blvd
Zip Code: 34957 Fax: City: Port St Lucie State:FI
Phone No.952-457-8187 Zip Code: 34952 Fax: 335-3310
E-Mail: Phone No. 396-2344
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 RECORDED Notice of Commencement is required.
Jul 1B15O0:U0a Dodd Enterprises Inc. 772-335'3310 p�S
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY; x Not Aciolicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip:_Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: x NotApplicable
Name: Name:
Address: Address:
Citv: 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 applicabie Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners As5cciation 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.
Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATECIFFLORIDA STATE OF FLORIDA
COUNTYOF
COUNTY OF
(Name of person acknowledging) (Name of person acknowledging)
(Signature of NobWy Public-state of Florida (Signature of Not,�Cv lic-State of Florida
-Pev��;ib!fy.15nciwn OR Produced Identification Personally Know7 OR Produced ldengf�cztion
�Vpe o.�ldentifi cation Produced Type of Ide atd dl-God�
EXPIRES Decarnber 12,201-7
RUV E FRONT ZONING 5UPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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