HomeMy WebLinkAboutBuilding Permit Application Feb 12161O:OOa Dodd Enterprises Inc, 772-335-3310 p.2
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/1112016 Permit Number: V;0 A-0 R1 I
7D FEB 112016
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: 10725 S. Ocean Dr.#244
Legal Description:
Parcel ID#4511-501-0128-000-2
Property Tax I D#: Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side:_Left Side:
DETAILEb DEscRiPTION OF WORK:,
Change out 3 ton 14 seer Payne st cool pkg unit 8 kw heater like for like
CONSTRUCTION INFORMATION:
Additional work to be effo-rmed under this perrnil:---check all tLat apply:
OHVAC fiGasTank 0(3as Piping 5 h utters F Wiridows/Doors
Tota I Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ 3500.00 Utilities: F]Sewer liSeptic Building Height:
Address: 10725 S. Ocean Dr.#244 Dodd Enterprises Inc
City: Jensen Beach State:Fl Address: 1296 SE Industrial Blvd
Zip Code: 34967 Fax: City: Port St Lucie State:FI
Phone No.419-236-5171 Zip Code: 34952 Fax: 335-3310
E-Mail: Phone No. 398-2344
rill in fee simple Title Holder on next page if different E-Mail: doddenterpdaes@dodd.com
from the Owner listed above) State or County License: CMC12499,%
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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Feb 121610:00a Dodd Enterprises Inc. 772-335-3310 p.3
SUPPLEMENTAL.CONSTRUCTION LIEN LAW1N FORMATIOU.
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY. x Not Applicable
Name: Name:
Address: Address:
City: State:_ City: —State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITILE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: — City;
Zip: Phone: Zip:_Phone:
I certifythat 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,
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.
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Signature of Owner/Lessee/Agent Signature—�o;Co�n-tra/cl�or/L4i�ce�nse Holder
STATE OF FLORIDA,4_,,- STATE OF FLORIDA
COUNTY OF wa—)L COUNTY OF
The forgoing instrPment was acknowledged before me The forgoing instr e t was acknowledged•before me
_ft_day of �
this 20 this_Lday o .20 by
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(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary P blic-State of Florida (Signature of N o-Kary—Pub]1 Stat f Florida 7 17-State a
Personally Known Known OR Produced Identification
_CIR Produced Identification Personally
Type of Identification Produced- Type of Identification Produced
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