HomeMy WebLinkAboutBuilding Permit Application Dec 021511:15a Dodd Enterprises Inc.
772-335-3310 p.2
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1 � 12- 1
Date: 121112015 Permit Number:
J
Building Permit Application DEC 01 205
Planningand Development Services PERMITTING
Building and Code Regulation Division st, Lucie County, FL
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: 197 Nettles Blvd
Legal Description:
Parcel ID#4502-501-0383-000-9
Property Tax 10 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Change out 3 ton 14 seer Payne st cool pkg unit 8 kw heater like for like
CONSTRUCTION INFORMATION:
Acid itiona I work tobe nertormed under this permit–check all that apply:
HVAC F Gas Tank E]Gas Piping nShutters L]Windows/Doors
F]Electric Fliumbing Sprinklers U Generator 0 Roof
Total Sq. Ft of Construction., Sq. Ft.of First Floor
Cost of Construction:$ 3500.00 Utilities:I i Sewer M Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Pearl Flaherty Na me- Vance R Corbin
Address:1!97 Nettles Blvd Company: Dodd enterprises Inc
City: Jensen Beach State-"Fi Address: 1296SE Industrial Blvd
Zip Cocle.. 34957 Fax: City: Port St Lucie State:Fl
Phone No.989-274-0436 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: doddenterpdses@_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.
—J
Dec 821511:15a Dodd Enterprises Inc.
. //2-335-8810 p.3
'SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
,DESIGNER/ENGINEER: x NotApplicable 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: Narne:
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.LuciejCounty makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conTliCt with any applicable Home Owners Association rules,bylaws or ano 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 tender or an attorney before
commencing work or recording your Notice of Commencement.
—Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA I STATE OF FLORIDA
The forgoing instrwrient was pcknowledged before me The forgoing instrzument w is acknowledged before me
this—1 0 _044k _115by this_L day of 20 by
(Name of person acknowledging) (Name of person acknowledging)
(Signature DTffootaiij�Ab c-State of Florida) (Signature of NotKPu tate of Florida
OR Pro' Personally Known OR Produced ldeneffi6tfoh.
Type of Identification Produced Type of Identification Produced
Commission No. (S e al).
MY COMMISSION OFF081868
E.ViEWS PR-ONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
INITIALS
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