HomeMy WebLinkAboutBuilding Permit Application Dec 081510:02a Dodd Enterprises Inc. 772-335-3310 p.2
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED _
Date: 12/7!2015 Permit Number:
i
- ,
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce Ft 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 1200 Nettles Blvd r
Legal Description:
Parcel ID#4502-501-1387-000-4
Property Tax ID#: Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Change out 2 ton 16 seer Rheem st cool split system 5 kw heater like for like
CONSTRUCTION INFORMATION:
Additional work to borformed un ert ispermit—c ec a _appy:
WindowsJDoors
HVAC Gas Tank ❑Gas Piping Shutters ❑
DElectric 0 Plumbing Sprinklers 0 Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 4100.00 Utilities: Sewer El Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name George Fletcher Name: Vance R Corbin
Address:1200 Nettles Blvd Company: Dodd Enterprises Inc
City: Jensen Beach State:FI Address: 1296 SE Industrial Blvd
Zip Code: 34957 Fax: City: Port St Lucie State:FI
Phone No.248-84M998 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.
Dec 0B151O'02a DoddE�orphaeu. Inc, 772-335-3310 p.3
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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: 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.LucleCoun makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conWict 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 attorney before
commencing work or recording your Notice of Commencement.
KAI,
Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTYOF 4 , �CL&t COUNTYOF
this day Of 20 LN-by this I dayof 20 %'1 by
(Name of person acknowledging) or person acknowledging)
(Signature of Ndtfry Public-State of Florida) (Signature of N&tgry Public-State of Florida
Personally Known_OR Produced identification Personally Known OR Produced Iderifificatiorr-7
ypeo onProduced— Type of Identification Produced
C:01 MiSIN Commission No. (Seil�
MISSIC 31868
EXPIRES Decorriber 12,2017 SUZETTE RITCHIE
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