HomeMy WebLinkAboutBuilding Permit Application Oct161508:52o Dodd Enterprises Inc, 772'335-3310 p.2
ALL APPLICA13LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date.. 1011512015
Permit Number:1—sy 0
Building Permit Appli.cation
Planning and Develbpment Services OCT 15 ,2015
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: 2165 Netfles Blvd
Legal Description:
Parcel ID#4502-501-0168-000-6
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 ton 13 seer Bryant st cool pkg unit 8 kw heater like for like
CONSTRUCTION INFORMATION:
Aciditional work to Mfo-m-ed under this-permif-check all Inapply:
HVAC. Gas Ta
A OGas Piping Shutters Windows/Doors
Electric ri Plumbing FSprinklers EiGenerator Roof
Total Sq.Ft of Construction: So.Ft.of First Floor:
Cost of Construction:$ 3500-00 Utilities:OSewer 0 Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Albert Stuart Name: Vance R Corbin
Address:2165 N es Blvd Company: Dodd Enterprises Inc
City: Jensen Beach State:R Address: 1296 SE Industrial Blvd
Zip Code: 34957 Fax: City: Port St Lucie State:R
Phone No.267-968-6523 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: doddenterpdses@dodd.com
from the Owner listed above) State orCoUnty License: CMC1249958
If value of construction is$7-500 or more,a RECORDED Notice of Commericernent is required.
`
Oct 16 15 08:53a Dodd Enterprises Inc. 772-335-3310 p.3
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 ermit holderto build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or anscovenants 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.
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Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA ;r!
COUNTY OF � (t wr'-- CO U NTY OF `�
The forgoing instrum�e �t,was acknowledged More me The forgoing instrumentwas acknowledged before me
this��day of C t4 x� 20 LS by this t qday of 20 t��by
1 i
(Name of person acknowledging) (Name of person acknowledging)
154taLi
(Signature of Not Pu ic-State of Florida) (Signature of Note ry Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification -_
Type of Identification Produced Type of Identif e--Rreda
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