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HomeMy WebLinkAboutBuilding Permit Application Aug 0515 08:56a Dodd Enterprises Inc. 772-335-3310 p,2 ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 0810412015 Permit Number: 1503 -0o3 ? KGKOIM fflmmm.Wom Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fort Piero Ft 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 788 Nettles Blvd Legal Description: Parcel ID#4502-501-0974-000-9 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: Additional work to flasTank orme un ert ispermit—c ec a appy: 1INVAC ❑Gas Piping _Shutters a Windows/Doors 1-1 Electric 0 Plumbing Sprinklers Generator Roof Total Sq.Ft of Construction: S Ft. of First Floor: Cost of Construction:$ 3540.00 Utilities:oSewer 11 Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Geoffrey Hallenbeck Name: Vance R Corbin Address:788 Nettles Blvd Company: Dodd Enterprises Inc, City: nc- City: Jensen Beach State:Fl Address: 1296 SE Industrial Blvd Zip Code: 34957 Fax: City: Port St Lucie State:FI Phone No.631-521-1523 Zip Code: 34952 Fax: 335-3310 E-Mail: Phone No. 398-2344 Lv_ailue mple Title Holder on next page(if different E-Mail: doddenterprises@dodd.com wner listed above) State or County License: CMC1249958 nstruction is$2500 or more,a RECORDED Notice of Commencement Is required. pa Aug 051508:5Gs 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: FEE SIMPLE TITLE HOLDER., x Not Applicable BONDING COMPANY: X Not Applicable Name: Name: Address: Address: City: City: I certify that no work or installation has commenced prior to the issuance of a perrWit. 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 cons:ideration 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. _Tignature of owner?Lessee/Agent Sig-nature of Contractor/License Holder STATE OF FLORIDA STA TE OF FLORIDA COUNTY OF COUNTY OF this 4- day of 21) 179-by this day of .20 (Name of person acknowledging) (Name of person acknowledging) ..*Lgnatpre_-�f-Notary"ic-State of Florida) (Signature of Not6�Public'State of Florida:) OR Produced identification Personally Known OR Produced ld�nti�" Type of I cluced Jy Produce ZETTIE RT Z' Commis ic, TTE RITC IT EXPIRES Decembgr 19 9A, N F#F�6 7!a8' 1REs December 12,2017 Sarllice.cornZo REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE =1NITIALS