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HomeMy WebLinkAboutBuilding Permit Application Nov 291G11:3Oa Dodd Enterprises Inc, //2-335'3310 p.2 ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 11124/2015 Permit Number: 03 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 LOCATIONI* Address. 10701 S.Ocean Dr.#654 Legal Description: Parcel ID#4511-805-0055-000-2 Property Tax ID#: Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: [�qA�IW DESCRIPTION OF WORK: Change out 2 112 ton 15 seer Ameristar st cool split system 5 kw heater like for like CONSTRUCTION INFORMATION: Additional work to be erformed under this permit—check all that apply�__ EIHVAC Gas Tank RGas Piping FIShutters; Windows/Doors 11 Electric Plumbing OSprinklers Flenerator F-1 Roof Total Sq. Ft of Construction: S Ft of First Fluor: Cost of Construction:$ 3400-00 Utilities'll SewerFleptic Building Height; OWNER/LESSEE: CONTRACTOR: Name Mario Rerms. Name:Yan eR Corbin Address:10701.S_Ocean Dr.#654 Company: Dodd Enterprises Inc City; Jensen Beach State:F1 Address: 1296 SE Industrial Blvd Zip Code: 349�7 Fax: City: Port St Lucie State:FI Phone No.305-968-1546 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: CMC1249958 if value of construction is$2500 or more,a RECORDED Notice of Commencement is required. Nov 251511:3Oe Dodd Enterprises Inc. 772-336-3310 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: NotApplicable 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 permiL St.Lucie Courity 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 pennit,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 tender or an attorney before-commencing work or recording your Notice of Commencement.—Signature of Owner/Lessee/Age nt Signature of Contractor/License Holder STATECIFFLORIDA. I STATE OF FLORIDA The forgoing instrument was�acknowledged before me The forgoing instrument was acknowledged before me this day of 20 1 �by this,)Qdayof(Name of person acWnowledging) (Name of person acknowledging)(Signature of Ndh&yPubi-[ StateofFlorlda) (Signature of I`Wtary Publi State of Florida) .... ..Personally Known_OR Produced Identification Personally Know OR Produced Identiflica,tion Type of Identification Produced Type of Identification Produced corrt�lijskov t'40.". (Seal) Commission No. MY COMMISSION 4FF061061T.RE December12,2017 398 n53 C40 -0153 FfcridWotar�SeWcexam Fl�dNT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE ILINTE R REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW COMPLETE INITIALS