HomeMy WebLinkAboutBuilding Permit Application Oct 21 1508:49a Dodd Enterprises Inc. 772-335-3310 p.2
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date- 1012012015 Permit Number.
at RECEI\":-D OCT 2 0 Z015
Yiit
P Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Wirginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
-PROPOSED IMPROVEMENT LOCATION:
Address: 1159 Nettles Blvd
Legal Description:
Parcel 0#4502-501-1346-000-5
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:
Additional work tobe ertormed under this permit—check all t=apply:
OHVAC M-Gas Tank Disas Piping "Shutters Windows/Doors
FlElectric F�Plumbing FSprinklers IiGenerator F-1Raaf
Total Sq.Ft of Construction: SQ.Ft.of First Floor:
Cost of Construction:$ 3600.00 Utilities.,ELI Sewer F_]Septic Building Height:
.OWNERAESSEE: CONTRACTOR:
Name Frederick Hiscock Name: Vance R Corbin
Address:1159 Nettles Blvd Company: Dodd Enterprises Inc
City: Jensen Beach State:F1 Address: 1296
96 SE Industrial Blvd
Zip Code: 34957 Fax: City: Port St Lucie State:FI
Phone No.772-229-9576 Zip Code: 349511 Fax: 335-3310
E-Mail: Phone No. 398-2344
Fill in fee simple Title Holder an next page if different E-Mail: daddenterprises@dodd.com
from the Owner listed above) State or County License: CMG1249956
If value of co
mtruction is$200 or more,a RECORDED Notice of Commencement is required.
Oct 21 1508:49a Dodd Enterprises Inc. 772-335-3310 p.3
SUPPLEMENTALCONSTRUCTION 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.
t.
_Signature of Owner/Lessee/Agent I Signature of Contractor/License Holder
STATE OF FLORIDA
e „ T�TEOFFORIDA
COUNTYaF �ti STATE
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The forgoing instrume t was acknowledged be ore me The f�ing instrumen acknowledged before me
this�day of 20 t by this day of '��,20 lJ by
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(Name of person acknowledging) (Name of person acknowledging)
(Signature of tary Pub” -State of Florida) (Signature offfitary Publiy-State of Florida)
Personally Known OR Produced Identification Personally Known V/OR Produced Identification-
Type.of IderEification Produced Type of Identification Produced
Como3igsioR=Nt; Com o. Sal;: -
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:o•.- 5V� pp061668 MY COMMISSION 4FF06186esst
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EXPIRES December 12.2017
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REVIzwS:'. .FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTERREVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS