HomeMy WebLinkAboutBuilding Permit Application Sep 1015 09:17a Dodd Enterprises Inc. 772-335-3310 p.2
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 0910912015 Permit Number. n24?._Q14�1 4
Wig ijil' RECEIVED
ARM
Building Permit Application SEP /9 2015
Monning 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: 354 Nettles Blvd
Legal Description:
Parcel ID#4502-501-0540-000-8
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 15.5 seer Rheem heat pump split system 5 kw heater like for like
CONSTRUCTION INFORMATION:
Additional work tobe performed under this permit—clieck all that apply:
0HVAC _Shutters F_1 Windows/Doors
0 Gas Tank Gas Piping
0 Electric FlPlumbing OSprinklers FIGenerator U Roof
Total Sq. Ft of Construction: Sq_Ft.of First Floor:
Cost of Construction:$ 5000-00 Utilities:11 SewerFISelptic Building Height,
OWNERAESSEE: CONTRACTOR:
Name Antonio Gil Name: Vance R Corbin
Address.354 Nettles Blvd Company: Dodd Enterprises Inc
City: Jensen Beach State:171 Address: 1296 SE Industrial Blvd
Zip Code: 34957 Fax: City: Port St Lucie State:FI
Phone No.516-639-8404 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: doddenterprises@dodd.com
from the Owner Listed above) State or County License: CMC1249956
If value of construction is$25DO or more,a RECORDED Notice of Commencement is required.
Sep 10150B17a Dodd Enterprises Inc, 772~335-3310 p.3
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGN ERIENGINEER: x NotApplicable 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 NotApplicable
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 Owfiers 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 vAth 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 faijlure 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.
[L Ca"-� s
Signature of Owner/Lessee/Agent 'Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF_ COUNTYOF Lu&c,
The fo oinginst me was c nowledged before me The foMoing linstrqmenk was acknowledged before me
this day of. 20 -k7Cby this- �-clayof 20 V��—by
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(Name of person acknowledging) (Name of person acknov%Tlediging
(Signature of Notary M c-State of Florida (Signature tary Public-State of Florida
Personally Known OR Produced Identification Personally Known.OR Produced Identification
Type of identification Produced. Type IdenUficatian Emd-cad
SILIZETTS RITCHIE
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ONM 1220%7 EXPIRES December 12,2017
(407)398-0153 NOMOHNOTaNtSerViC"'>M
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