HomeMy WebLinkAboutBuilding Permit ApplicationSUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name:
MORTGAGE COMPANY: x Not 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:
City:
Address:
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 1 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 our Notice of Commencement.
_ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA , -
COUNTY OF
The forgoing instrument was acknowledged before me
this �14 day of Jk-_�WAJ� 20 4by
STATE OF FLORIDA
COUNTY OF Z >'
The forgoing instrument was acknowledged before me
this al day of 20 by
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(Name of person acknowledging) (Name of person acknowledging)
(Signature of Nota ublic- State of Florida )
Personally Known L,*� OR Produced Identification
Type of Identification Produced
SUZETTE RITCHI
;.OfJIMISSION #FF061868
RES December 12, 2017
L4r1aN')1arv5eMCC COM
kEVIEWS, FRONT ZONING
GC�J�ITER REVIEW
_Dn/'A�ThE - -
LomPLEA
INITIALS
(Signature of Notary Public- State of Florida ]
Personally Know OR Producedldentification i
Type of Identification Produced
Rin.
SUZETTE RITCHIE~ --- ,
MY
EXPIRES Docembcr 12, 2017
398-01133 F1cr1dnNt)I9rV8Qrv1se,c0m
SUPERVISOR
REVIEW I VEGETATIONSEREV REVIEW MANGROVE REVIEW
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 312112016 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 X
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential _
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 219 Nettles Blvd
Legal Description:
Parcel ID # 4502-501-0405-000-0
Property Tax ID #:
Site Plan Name:
Lot No.
Block No.
Project Name:
Setbacks Front Back: 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
W
CONSTRUCTION INFORMATION:
Additionalworkto-be perform un er t �s permit— c ec a app y:
HVAC E] Gas Tank DGas Piping Shutters 11 windows/Doors
Electric ElPlumbing Sprinklers ElGenerator 0 Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 3500.00
OWNERAESSEE:
Name Alfred Helfrich
Address: 219 Nettles Blvd
Sq. Ft. of First Floor:
utilities:
utilities: 0 Sewer LJ Septic
City: Jensen Beach State: EI
Zip Code: 34957 Fax:
Phone No. 772-208-0669
E -Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
CONTRACTOR:
Building Height:
Name: Vance R Corbin
Company: Dodd Enterprises Inc
Address: 1296 SE Industrial Blvd
City: Port St Lucie State: Fl
Zip Code: 34952 Fax; 335-3310
Phone No. 398-2344
F-rvlail. doddenterpdses@dodd.com
State or County License: CMC1249958
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.