HomeMy WebLinkAboutBuilding Permit Application Dec 15151O1Oa Dodd Enterprises|no. 772-335'3310 p2
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1211412015 Permit Number.
0_1 RECEIVED
Building Permit Application DEC 14 2015
Planning ond Development Services PER11AITTIN143
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- 1162 Nettles Blvd
Legal Description:
Parcel ID#4502-501-1349-000-6
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 3 ton 14 seer Bryant st cool pkg unit 8 kw heater like for like
CONSTRUCTION INFORMATION:
AC101tional work to be performed under this permit—check all that apply:
0 Electric 11 Plumbing FISprinklers Generator Roof
Total Sq, Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:S 3500.00 Utilities:U SewerF]Septic Building Height:
OWNERAESSEE: CONTRACTOR:
N a me James Baslock Name: Vance R Corbin
Address:1162 Nettles Blvd Company: Dodd Enterprises Inc
City: Jensen Beach State:F1 Address: 1296 SE Industrial Blvd
Zip Code: 34957 Fax: City- Port St Lucie State:FI
- 335-3310
Phone No.586-747-6263 Zip Code: 34952 Fax.
E-Mail: Phone No* 398-2344
Fill in fee simple Tittle Holder on next page if different E-Mail:-doddenterprises@dc)dd.com
from the Owner listed above) State or County License: CMC1249958
It value of construction is$2500 or more,a RECORDED Notice of commencement is required.
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Dec 151G1018a Dodd Enterprises Inc. 772'385'3310 p.3
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x NotApplicable MORTGAGE COMPANY. Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
I FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not ADolicable
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 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 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,
access"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.
Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
this day of w%_,_20 I�Lby this luld ay
-11 of by
(Name of person acknowledging) (Name of person ack6owledging)
(Signature of Notar�Yubllc-State of Florida (Signature of No ry Public tate o Florida
Personally Known OR Produced Identif'
ication Personally Known OR Produced Identification
Type of Identification Produced Type of identification Produced
Cqrnljl�!�166 I;0. -4a4- Commission No.
SUZE-11"M RITCHIE SUZME RITCHIE
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REVIEWS FRO-NT ZONING SUPERVISOR .........
PLANS VEGETATION SEA TURTLE MANGROVE
-CQUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE-
COMPLETE
INITIALS
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