HomeMy WebLinkAbout644 nettlesSUPPLEMENTAL 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 thepermit 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.
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF U�
The forgoing instru ent was acknowledged efore me
this —q—day of � _V l , 20 y
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(Name of person acknowledging)
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(Signature of Notar r ublic- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. (Seal)
_SUZETTE RITCHIE
-My-,COMMISSION #FF061868
Itecember 12, 2017
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Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTYOF`
The forgoing instrum nt wa acknowledged before me
this � day of` — 4� Ph 26 1 by.--**�-.
U6_C-*)_ �_ 6_L_�_
(Name of person acknowledging)
(Signature of No Public- State of Florida
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Personally Known OR Produced Identification
Type of Identification Produced
Corr( T . F (Seal)
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SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/7/2016 Permit Number:
�
F L O R 177
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
PERMIT APPLICATION FOR: ;Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 644 Nettles Blvd
Legal Description:
Parcel ID # 4502-501-0830-000-8
Property Tax ID #:
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side
DETAILED DESCRIPTION OF WORK:
Left Side:
Residential X
Change out 2 112 ton 16 seer Rheem st cool split system 5 kw heater like for like
Lot No.
Block No.
CONSTRUCTION INFORMATION:
Additional work to be ertormed under this permit --check all apply:
HVAC E] Gas Tank []Gas Piping Shutters ❑ Windows/Doors
11 Electric ❑ Plumbing Sprinklers LJ Generator 11 Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 4500.00
SFt. of First Floor:
Utilities:cnSewer []Septic Building Height:
OWNER/LESSEE:
Name Patricia Newson
Address: 644 Nettles Blvd
City: Jensen Beach State: Fl
Zip Code: 34957 Fax:
Phone No. 772-237-4115
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: Vance R Corbin
Company: Dodd Enterprises Inc
Address: 1296 5E Industrial Blvd
City: Port St Lucie State: FI
Zip Code: 34952 Fax: 335-3310
Phone No. 398-2344
E -Mail: doddenterprises@dodd.com
State or County License: CMC1249958
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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