HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/1512016 Permit Number:
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 Residential X
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 2082 Nettles Blvd
Legal Description:
Parcel ID # 4502-501-0085-000-0
Property Tax ID ##:
Site Plan Name:
Project Name:
Setbacks Front Back:
Lot No._
Block No.
Right Side: Left Side:
Change out 3 ton 14 seer Payne st cool pkg unit 8 kw heater like for like
r
Additional work to be nertormed under tnis permit— cneCK anapply:
HVAC Gas Tank E]Gas Piping MShutters [] Windows/Doors
LJ Electric ❑ Plumbing O Sprinklers 1:1 Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 3500.00 Utilities:CnSewer 0Septic Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name AnthonyAntetomaso
Address: 2082 Nettles Blvd
Name: Vance RCorbin
Company: Dodd Enterprises Inc
City: Jensen Beach State: Fl
Zip Code: 34957 Fax:
Phone No. 516-448-6991
Address: 1296 SE Industrial Blvd
City: Port St Lucie State: FI
Zip Code: 34952 Fax: 335-3310
Phone No. 398-2344
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: doddenterpdses@dodd.com
State or County License: CMC1249958
If value of construction is 52500 or more, a RECORDED Notice of Commencement is requirea.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not ApplicableMORTGAGE
Name:
COMPANY: Nat Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: x Not Applicable
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 Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA j
COUNTYOF LUQ} _ COUNTYOF�(
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The forgoing instrumept was acknowledged before me The forgoing instrument was acknowledged before me
this day of Llu`�}} -4 20 -4by this IN day of d 2010 by
(Name of person acknowledging) (Name of person acknowledging)
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t
(Signature of NofaI4 Public- State of Florida }
Personally -Known � OR Produced. Identification
Tyrie of tification Produced
Commission No- _ (Seal)
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(Signature of NotaryPublic- State of Florida) -
Personally Known if OR Produced IdenjGfacatfari
Type of Identification Produced -
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