HomeMy WebLinkAboutBuilding Permit Application Jul 18 1509:06a Dodd Enterprises Inc. 772-335-3310 p.2
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07/1712015 Permit Number: V
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772)462-1553 Fax:(772)462-1579 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 1291 Nettles Blvd
Legal Description:
Parcel]D#4502-501-1478-000-9
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 ton 13 seer Bryant st cool pkg unit 8 kw heater like for like
CONSTRUCTION INFORMATION:
itiona wor to orme under this permit—check a appy:
ONVAC E]GasTank ❑Gas Piping 5hutters ❑Windows/Doors
11 Electric 0 Plumbing ❑Sprinklers a Generator 1:1 Roof
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ 3700.00 Utilities: Sewer P Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Linda Imswiler Name: Vance R Corbin
Address:1291 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.401-316-0179 Zip Code: 34952 Fax: 335-3310
E-Mail: Phone No. 39B-2344
Fill in fee simple Title Holderon next page(if different E-Mail: doddenterprises@dodd.com
from the Owner listed above) State or County License: CMC1249958
If value of construction is$2540 or more,a RECORDED Notice of Commencement is required.
Jul 18150Q:O6a Dodd Enterprises Inc. 772-335'3310 p.3
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x NotApplicable MORTGAGE COMPANY- Not Applicable
Name: Name:
Address- Address:
City; State: City: State:
Zip: Phone: Zip: Phone:
4EE 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 undergDing 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
-commencinR work or recording your Notice of Commencement.
Signature of owner/Lessee/Agent Sii-n-ature of Contractor/I icense Holder
STATE OF FLOR IDA STATE OF FLORIDA
The forgoing instrument 1yas acknowledged bpfore me Thefor iing instrunqer�l was acknowledged before me
this day of__� Irday of 2D Cr by
S by this
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(Name of person acknowledging) (Name of person ackr�owledging)
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�Signature,ff Nbtdry Public:State of Florida (Signature of Notary Public-State of Florida' —
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- Personally Known OR Produced identification Personally Known OR Produced Identificailen '