HomeMy WebLinkAboutBuilding Permit Application Dec O1151O:52a Dodd Enterprises |no '
. /72-335-3310 p.2
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1113012015 Permit Number: G
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Vl*rginio Avenue,Fort Pierce FL 34962
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address.- 869 Nettles Blvd
Legal Description:
Parcel ID#4502-501-1055-000-8
Property Tax iD#: Lot No.
Site Plan Name: Block No,
Project Name:
Setbacks Front Back: Right Side: Left Side:
LDETAILED DESCRIPTION OF WORK:
Change out 3 ton 15.5 seer Rheem st cool split system 8 kw heater like for like
CONSTRUCTION INFORMATION:
ACCI itional work to be nerformea underthis permit�check all that apply:
HVAC IDGasTank FIGas Piping Shutters Windows/Doors
Electric n Plumbing 115prinklers CGenerator Roof
Total Sq.Ft of Construction: St Ft f First Floor
.no
Cost of Construction:$ 4500.00 Utilities Sewer0septic Building Height:
-OWNER/LESSEE: CONTRACTOR:
Name Kenneth VanNoord Name: Vance R Gorbin
Address:869 Nettles Blvd Company: Dodd Enterprises Inc
City: Jensen Beach State:Fl Address: 1296 SE Industrial Blvd
Zip Code: 34957 Fax: City: Port St Lucie State:Fl
Phone No-6IM60-0708 Zip Code: 34952 Fax- 335-3310
E-Mail: Phone No. 398-2344
Fill in fee simple Title Holder an 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.
Dec O1151O:52a Dodd Enterprises Inc, 772-335'3310 p.3
SU PPLEM ENTAL.CONSTRUCTION LIEN LAW INFORMATION:
DESIGNEW/—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 holder to 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 reviiew 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 fo r
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
commencinp,work or recording your Notice of Commencement.
Ire - aL-L s
—Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA ,,—.[_
The forgoing instrument wai acknowledged before me The forgoing instrument was acknowledged before me
(Name of person acknowledging) (Name of person acknowledging)
(Signature of N&z(y Public-State of Florida (Signature of Notary Public-State of Florida
Personalty Known OR Produced identification Personally Known OR Produced ldentfflcat�pn
Type of Identification Produced Type of Identification Produced
Col So. SUZETTE 131T- CHIE(Si at) Com lsRITC114155
MISSION#F-FG01860 1,jissiON OFF-061668
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ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
-COUN-i[ER REVIEW
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