HomeMy WebLinkAboutBuilding Permit Application Jan 221610:01a Dodd Enterprises Inc. 772-335-3310 p.2
ALLAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q
Date: 1/21/2016 Permit Number: �FiO b a la
RECEI E70 JAN 21 2616
Building Permit Application
Planning and Development Services
Building and Cede Regulation Division
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: 2117 Nettles Blvd
Legal Description:
Parcel ID#4502-501-0120-000-8
Property Tax ID#: Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Sack: 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:
Aciditronalworktobenerformedunder tispermit—check all that appy:
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric Q Plumbing ❑Sprinklers 1:1 Generator Roof
Total Sq. Ft of Construction: S�Ft.J of First Floor:
Cost of Construction:$ 3500.00 Utilities.LJ Sewer QSeptic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Beatrice Walsh Name: Vance R Corbin
Address:2117 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:PI
Phone No.609-713-1616 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: 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.
Jan 22 1610:02a 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 apermit 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,
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 recordingyour Notice of Commencement.
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_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA —11STATE OF FLORIDA
COUNTY OF th eve–, COUNTY OF. L I,
Thefor ping instru ent was acknowledge�pp%�fore me The fo Ding instru ent was acknowledged before me
this day of 20 ITY this. day.of 20 by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary P lic-State of Florida) (Signature of NotzVy Public-State of Florida)
Personally Known ,✓/ OR Produced Identification Personally Known OR Produced IdeAVf1cation-_ .
TypE of tdentfiftatio Type of Identification Produced .
- :�;.`•'``��:_ SUZETTE RITCHIE
CorrlrnissiorrAla:- + .��c Commission No. (Seal/.
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EXPIRES December 12,2017
1407)398-0153 Flcrldallotaryse Ice.com i
A EWS.- - FRONT ZONING SUPERVISOR P ION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS