HomeMy WebLinkAboutBuilding Permit Application Out131GOA'5S� DoddEntoqphuaa|nc.
. 772-335-3310 p.2
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10(12/2015 PermitNumber:
RECEIV:D OCT 12 2015 ,
Is Building Permit Application Planning and Develapment Semites 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: 2038 Nettles Blvd Legal Description:Parcel ID#4502-501-0041-000-0 Property Tax ID#: Lot No.Site Plan Name: Block No.Project Name:Setbacks Front Back: Right Side: Left Side:DETAI'LED DESCRIPTION OF WORK: 'Ch,�njule out 3 ton 13 seer Bryant st cool pkg unit like for like CONSTRUCTION INFORMATION:Additic nal work to be partormed under-this permit—check all t=apply: L 11 Electric F]Plumbing E]Sprinklers Ilenerator 7 Roof Total Sq.Ft of Construction: Sq.Ft.of First Floor:Cost of Construction:5 3500.00 Utilities:El Sewer 7 Septic Building Height:OWNERAESSEE: CONTRACTOR:Name Bill Cross Name: Vance,R Corbin s:2038 Nettles Blvd Co'impany: Dodd Enterprises Inc City: Jensen Beach State:FI Address: 1296 SE Industrial Blvd Zip Code: 34957 Fax: city: Port St Lucie State..F1 Phone No.330-540-2667 Zip Code: 34962 Fax: 335-3310 E-Mail: Phone No. 398-2344 LE Fill in If6esimple Title Holder on next page if different E-Mail: dc)ddenterprises@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.'
'
`
' ��`
Oct 13150Q57a DoddE�orphaoo. Inc, 772-335-3310 p.3
SUPPLEMENTAL,CONSTRUCTION LIEN LAW INFORMATIGN:
DESIGNER/ENGINEER.- x Not Applicable MORTGAGE COMPANY: x Not Applicable
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x NotAwlicable
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 Amciation rules,bylaws or ancl covenants that m strict or prohibit such
structure.Please consult with your Home Owners Association and r view your deed for any r s With may apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,in ali 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 recordingyour Notice of Commencement.
'L - S
—Signature of Owner/Lessee/Agent Signature of Contraftr/License Holder
STATE OF FLORIDA.4 STATE OF FLORIDA
COUNTY OF COUNTYOF
The ing instr iowledged before me The forgoing instrumeryt:%%w�is acknowledged before me
this day of 20 LNIby this L day of 20 I_M_by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary4fublic-State of Florida (Signature of Not&y Public-State of Florida)
Personally Knovia -----eft'Prb7U5CeA"Mgti n Personally Known OR Produced Identiffitation_:
Type of Ide&[ft60;kI?ro8t9JETTF ed
. ...I ...h IF=C_�Nr09t1
je
YCOMM
Ni
SMETTE RITCHIE
EXPIRES
Curti
tV.t6W FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
=INITIALI
`
' /