HomeMy WebLinkAboutBuilding Permit Application Oct 1615 08:53a Dodd Enterprises Inc. 772-335-3310 p.4
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/1512015 Permit Number: k)O,
RECEIVED
Building Permit Application OCT 15 2015
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: 253 Nettles Blvd
Legal Description:
Parcel ID#4502-501-0439-000-7
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 3 tDn 13 seer Bryant st cool pkg unit 8 kw heater like for like
CONSTRUCTION INFORMATION:
Additional work tobe performed under this permit—check all that apply.
1_1HVAC 11 Gas Tank []Gas Piping liShutters Windows/Doors
11 Electric 1:1 Plumbing FISprinklers 1:1 Generator FRoof
Total Sq.Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$ 3500.00 Utilities: Sewer R Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameAndre LeClere Name: Vance R Corbin
Address:253 Nettles Blvd Company: Dodd Enterprises Inc
City. Jensen Beach State:E1 Address: 1296 SE Industrial Blvd
Zip Code: 34957 Fax: City: Port St Lucie State:9
Phone No.772-475-4061 Zip Code: 34952 Fax; 335-3310
E-Mail: Phone No. 398-2344
Fill in fee simple Title Holder on next page I if different E-Mail: 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.
Oct 1615 08:53a Dodd Enterprises Inc. 772-335-3310 p.5
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNERIENGINEER: 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 reviewyour 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 Contra for/License Holder
STATE OF FLORIDA rr ,, '' ww� ,^ STATE OF FLORIDA (,
COUNTY OF l� -- COUNTY OF14-�Uu,
The forgoi g instrument was acknowledge Cbe re me The forgoing instrume was acknowledged before me
this I day of _ . 20 by this L qday of 20 i-s- by
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(Name of person acknowledging) (Name of person acknowledging)
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Personally Known V OR Produced Identification Personally Known OR Produced Identification-
Type of identification Produced Type of Identification Produced _
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