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HomeMy WebLinkAboutBuilding Permit Application Nov 11151O:41u Dodd Enterprises Inc. ' 772-336'3310 p.2 ALLAPPLICABLE INFO MUST BECOMPLETED FORAPPLICATION TO BE ACCEPTED Date: 1111012015 Permit Number: ' RECER-7-D NOV 10 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: 10725 8-Ocean Dr. #351 Legal Description:Parcel ID#4511-502-0187-000-6 Property Tax ID#: Lot No.Site Plan Name: Block No.Project Name:Setbacks Front Back: Right Side: Left Side:DESCRIPTION OF WORK:Change out 3 ton 14 seer Bryant st cool pkg unit 8 kw heater like for like CONSTRUCTION INFORMATION:.Additional work to be rformed under this permit—check all th apply:EjHVAC flGasTank DGas Piping Ll Shutters Windows/Doors DElectric 1:1 Plumbing DSprinklers F1 Generator F�Roof Total Sq.Ft of Construction: Scl.Ft.of First Floor:Cost of Construction:� 3600.00 Utilities: 0 sewerF]SeIptic Building Height:OWNERAESSEE: CONTRACTOR:Name Charles Raffay Name. Vance R Corbin Address:10725 8-Ocean Dr. 4351 Comp,any: Dodd Enterprises Inc City: Jensen Beach State:R Address: 1296 SE Industrial Blvd Zip Code: 34957 Fax: City. Port St Lucia State.FI Phone No,772-834-0796 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: doddenterprises@_dodd.com from the Owner listed above) State or County License: GMC1249958 Ifvalueof canstTuction is$2500 or more,a RECORDED Nofice of Commencement is required.` ` ' Nov 111G10:41a Dodd Enterprises Inc. 772'335'3310 p.3 SUPPLEMENTAL CONSTRUCTON LIEN LAW INFORMATION. Name: Name: Address: Address: City: State: City: state: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: x NotApplicable 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'Coun makes no representation that is granting a permit will authoeize the permit holder to build the subject structure which is in colict 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 attomey before commencing work or recording your Notice of Connhiencernent. —Signature of Owner/Lessee/Agent Sigrfa—ture of Contractor/License Holder STATE OF FLORIDA.:QL STATE OF FLORIDA ? COUNTY OF 0-cl uim' COUNTYOF k The forgoing instru nt was apknoWledged before me The forgoing instrpentwa5 acknowledged before me this U-1 dav of 20 12S�6y this day of 20 (Name of person ackhowledging (Nam�e of person acknowledging) (Signature oftotary Public-State of Florida) (Signature of No64 Public-State of Florida) Personally Known ification Personally Known L-"/ OR Produced Identit-6ado,91, SU HIIE� ZETTE RITC EXPIRES December 12.2.017' -FRONT 70NING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGRoVE I-"-DATE. COUNITER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW COMPLETE '