HomeMy WebLinkAboutBuilding Permit Application Jan 121611:04a Dodd Enterprises Inc, 772-355'3810 p.2
ALL APPLICABLE INFO MUST BE COMPLETED FOR APIPUCATION TO BE ACCEPTED
Date: 11111/2016 PermitNumber �Iu
Building Permit Application JAN 112016
Planning and Deve)opmenr Services
Building and Code Regulation Division PERMITTING
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie County, FIL
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMrr APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 10725 S_Ocean Dr 9 523
Legal Description:
Parcel ID#4511-5D2-0055-000-2
Property Tax ID Lot No.
Site Plan Name: Block No,
Project Name:
Setbacks Front Back: Right Side: LeftSide:
DETAILED DESCRIPTION OF WORK:
Change out 3 ton 14 seer Bryant st cool pkg unit 8 kw heater like for like
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit—check all that apply:
UHVAC Gas Tank DGas Piping F�Shutters Windows/Doors
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction-$ 3800.00 Utilities:[]Sewer E Septic Building Height:
-OWNER/LESSEE: CONTRACTOR:
Name David Ganor Name: Vance Corbin
Address:10725 S-Ocean Dr.#523 Company: Dodd Enterprises Inc
City: Jensen Beach State:FI Address: 1296 SE Industrial Blvd
Zip Code: 34957 Fax: City: Part St Lucie State:F:I
Phone No.440-396-1625 Zip Code: 349-52 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
it value of conStrUCtIGn is$2500 or more,a RECORDED Notice of Commencement is reqtfired.
Jan 121611:04a Dodd Enterprises Inc. 772-335-3310 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: 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 permit holderto build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohlbitsuch
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 pians,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 our Notice of Commencement.
C111 6L
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF c COUNTY OF 1�
The fo(��pIng instr ment was acknowledged before me The for pippinst ent was acknowledged before me
this]��"'Zfay of c 20 fib} thisAa of 20 �by
(Name of person acknowledging) (Name of person acknowledging)
{Signature of Not Pu lic-State of Florida) (Signature of N ry Pu ic- tate of Florida)
Personally Known Y OR Produced Identification Personally Known OR Produced Identification
Type of identification Produced Type of Identification Produced
Commission No. �F{ITCHIre 1) Commission No. pITCI�I (Seal)
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