HomeMy WebLinkAboutBuilding Permit Application Aug 0B1SUQ:48a Dodd Enterprises Inc, 772-335-3310 p.2
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 08107/2015 Permit Number:
- Building Permit Application
Planning and Deve)opment Services
Building and Code Regulation Division
2900 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: 1061 Nettles Blvd
Legal Description:
Parcel ID#4502-501-1248-000-8
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DESCRIPTION OF WORK:
Change out 3 ton 15 seer Rheem st cool split system 5 kw heater like for like
CONSTRUCTION INFORMATION:
Additional work tone Derrormed under this pernnit—check all-ffial apply:
HVAC 0—Gas Tank F]Gas Piping FIShutters FlWinclows/Doors
Electric Q Plumbing Flprinklers F]Generator Roof
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ 4900.00 Utilities;01 Sewer F Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Nathan&Joyce Stern Name: Vance R Corbin
Address:1061 Nettles Blvd Company: Dodd Enterprises Inc
City- Jensen Beach F1 1296 SE Industrial Blvd
State: Address:
Zip Code: 34957 Fax: City. Port St Lucie Fl
Phone No.772-229-8908 Zip Code: 34952 Fax: 335-3310
E-Mail: Phone No.1398-2344
Fill,I in fee simple Title Holder on next page I if different E-Mail. doddenterpetses@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.
Aug OO15UQ:48a Dodd Enterprises Inc. 772-386-3310 p.3
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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.LucieCoun makps no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conlylict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure,Please con suit 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 Rorida Building Codes and St.Lucie County Amendments.
The following building permft 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 tender or an attorney before
commencing work or recording your Notice of Commencement.
Signature of Owner/Lessee/Agent SignatuFi of Confra r/License Holder
STATE OF FLORIDA 5TATEOFFLORIDA
COUNTY OF <�k, �u COUNTY OF
(Name of person acknowledging (1�5_me of person acknowledging)
(Signature of Notdi�PLUc-State of'Florida) (Signature of I �Ilc-State c
Personally Known OR Produced Identification Personally Known OR Produced identificatiorY
Type of Identification Produced Type of Identification Produced
COMMISSID
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