HomeMy WebLinkAboutBuilding Permit Application Aug O61508:57a Dodd Enterprises Inc, 772-835'3810 p.4
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 0810412015 Permit Number:
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Building Permit Application
Planning and Development Services AUG 0 A 2015
Building and Code Regulation Division PEFli-..;I Ii*-:-'I*IN,G
2300 Virginia Avenue,Fort Pierce FL 34982 Lucie C:
Phone:(772)462-15S3 Fax:(772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 216 Nettles Blvd
Legal Description:
Parcel ID#4502-501-0402-000-9
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 2 112 ton 13 seer Payne st cool pkg unit 8 kw heater like for like
CONSTRUCTION INFORMATION:
Additional work to be pertormea under this permit—check all tnhat.apply:
Electric Plumbing Sprinklers FIGenerator Roof
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of ConstTuction:$ 3400.00 Utilities:I hewerF Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Ron&Susan McElwain Name: Vance R Corbin
Address:216 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:Fl
Phone No.269-290-5343 Zip Code: 34952 Fax: 335-3310
E-Mail: Phone No. 398-2344
Fill in fee simple Title Holder on next page(if different E-Maik 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.
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Aug 051508:57a Dodd Enterprises Inc. 772-335-3310 p.5
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: I
City: City:
Zip: Phone: Zip: Prone: i
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 contlict 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 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 our Notice of Commencement.
—Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDAY
COUNTY OF 4, COUNTY OF
The forpolng instrume was ac nowledged bre me The forgoing instrum t was a knowledged before me
this t day of 20 -.!by this day of 20 L by
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(Name of person acknowledging) (Name of person acknowledging)
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(Signature of Nota blic-State of Florida} (Signature oNotary Public*_state of Florida)
Personally Known_ZOR Produced Identification Personally Known ✓ f OR anti tion.
Typ6 of I 'fi ion Produced Type of Identificati uc tiTG
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