HomeMy WebLinkAboutBuilding Permit Application Nov 041510:12a Dodd Enterprises Inc. 772-335-3310 p.2
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: -" Os
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Building Permit Application
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: 101 Nettles Blvd
Legal Description:
Parcel ID#4502-501-0287-000-6
Property Tax ID#: Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Sack: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Change out 1 112 ton 16 seer Rheem st cool split system 5 kw heater like for like
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit—check all appy:
[--IIiVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
nElectric ❑Plumbing Sprinklers Generator Roof
Total Sq.Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 4000.00 Utilities: Sewer 0 Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Kathleen Oakley Name: Vance R Corbin
Address:101 Nettles Blvd Company: Dodd Enterprises Inc
Cit,: Jensen Beach State:F1 Address- 1296 SE Industrial Blvd
Zip Code: 34957 Fax: City: Port St Lucie State:Fl
Phone No.772-229-6334 Zip Code: 34952 Fax: 335-3310
E-Mail: Phone No. 398-2344
Fill in fee simple Title Holder on next page l 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.
Nov 041510:12a Dodd Enterprises Inc. 772-335-3310 p.3
SUPPLEMENTAL CONSTRUCTION LIEN LAIN 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 wil I 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 tc your property.A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection..lf 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 Contractor/License Holder
STATE OF COUNTY OF FLORIDA 4,(� .. ..� COUNTY OF STATE OF FLORIDA (� Wt
The forgoing instr ent was cknow.ledged b fore me The forgoing instr ment was acknowledged before me
this day of �u'` 20 L by this. day of�6. rt` .20 Or by
i U 1 -.�
(Name of person acknowledging) (Name of person acknowledging)
(Signature of 6btary Public-State of Florida) (Signature of NotWy Public-State of Florida,):-' -
PersonallyKnown OR Produce i n Personally Known OR Produced ldentfi atiorS- - _-
.Tjpt of ide'ntification Pr Type of Identification Produced
SU'Z FOS 1668
CommiSsier, ;`F:, `.- IM1Y O'awn tptSa, 2017 Commission No.
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DATE
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INITIALS