HomeMy WebLinkAboutBuilding Permit Application Aug 151507:32a Dodd Enterprises Inc. 772-335-3310 p.1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED iS XU 077 �19
Date: 08/14/2015 Permit Number: (� I
c '
m
Building Permit Application
Planning and Development Services
Building and Code Regulation 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: 10701 S. Ocean Dr 9878
Legal Description:
Parcel 1D#4511-510-0079-000-1
Property Tax ID#: Lot No.
Site Pian Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Change out 21/2 ton 15.5 seer Rheem heat pump split system 5 kw heater like for tike
CONSTRUCTION INFORMATION:
Additional work toe e orme under tis —checkpermit a appy:
HVAC F]Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
DElectric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: So.Ft.of First Floor:
Cost of Construction:$ 5000.00 Utilities: Sewer 0Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Thelma Patterson Name: Vance R Corbin
Address:10701 S.Ocean Dr.4878 Company: Dodd Enterprises Inc
City: Jensen Beach State:Fl Address: 1296 SE Industrial Blvd
Zip Code: 34957 Fax: City: Port St Lucie State:PI
Phone No.772-229-1215 zip Code: 34952 Fax: 335-3310
E-Mail: Phone No. 398-2344
Fill in fee simple Title Holder on next page(if different E-Mail: daddenterprises@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 1515 07:32a Dodd Enterprises Inc. 772-335-3310 p.2
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:
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 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.
-�c Z— LAG✓lie"ti-� �f / s
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder ---
STATE OF FLORIDA �f STATE OF FLORI
COUNTY OF -- - if COUNTY OF 6.
L 62�
The for ing instrurn nt was a nowledged b fore me The for ping instru nt was knowledged before me
this�day of 210 by this�day of 20 t by
!se- ': L"- I,- �� g4,6e 4 "/1' '�—
(Name of person acknowledging) (Name of person acknowledging)
(Signature of No Public-State of Florida) (Signature of Nota ublic-State of Florida)
Personally Known v ntification Personally Known OR Produced Identification
T cat�n` r �IT[:H1E Type of Identification Produced
n.
1!SSION#FF061868
;^�npray,
Co hit n oMY COMh 12 201 JS al) Commission V, SUZETTE a" -_
?tcfn 1v' • MYGOMMISSION#Fi`Cd{r36
r �ItlrldnNbl Serviee:6am ;'r��.... _
.• lat77r.45@�{§B �Wil$d♦`�@1� a. t•7' -
IEUI1h15':. R0gT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
9OUNITER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
1.DATE:.:
.COfDIPLET
INITIAL-S --._-