HomeMy WebLinkAboutBuilding Permit Application Feb 2316 09:57a Dodd Enterprises Inc. 772-335-3310 p,2
ALL APPLICABLE INFO MUST"BE COMPLETED FOR APPLICATION TO BE ACCEPTED 0
Date: 2/22/2016 Permit Number: U C& D!*-
Building Permit Application
Planning and Development Services
Building and Code Reguiation 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: 407 Nettles Blvd
Legal Description- -
Parcel ID#4602-501-0593-000-4
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 2 112 ton 15.5 seer Rheern heat pump split system 5 kw heater like for like
CONSTRUCTION INFORMATION:
Additional work to bin narformed under thispermit—check all that apply:
IIHVAC 13Gas Tank ❑Gas Piping 1i Shutters F Windows/Doors
IJElectric F] Plumbing 7Sprinklers FIGenerator Roof
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ 4000-00 Utilities:0 Sewer F]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Mary Van Puffers Name: Vance R Corbin
Address..407 Nettles Blvd Company: Dodd Enterprises Inc
City: Jensen Beach State:171 Address: 1296 SE Industrial Blvd
Zip Code: 34957 Fax: City: Port St Lucie State:F-I
Phone No.772-229-3417 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
I
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
Feb 2316 09:57a 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 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,perforin 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 our Notice of Commencement.
Jalv_ S
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA / � STATE OF FLORIDA (�
COUNTY OF ' `^�-�'t�-' COUNTY OF
The forgoing instr e t was acknowledged efore me The forgoing instr entwas acknowledged afore me
this -day of 20 4by this��day of Z' 20 j by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary blic-state of Florida) (Signature of Ndft4ry Pic-State of Florida
PersCnaIly,Known ✓ OR Produced Identification Personally Known OR Produced Identification
Type�Flderitification Produced Type of Identification Produced
Commis" - ea Commission No. Seal --
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