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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 3/22/2016 Permit Number: J. 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: 1083 Nettles Blvd Legal Description: Parcel ID # 4502-501-1270-000-1 Property Tax ID #: Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: I DETAILED DESCRIPTION OF WORK: I Change out 3 tan 14 seer Payne st cool pkg unit 8 kw heater like for like r CONSTRUCTION INFORMATION: Additional work toe e Orme under this permit —check a appy: HVAC E] Gas Tank E]Gas Piping _ Shutters ❑. Windows/Doors Electric ❑ Plumbing 1.1 Sprinklers LJ Generator 0 Roof Total Sq. Ft of Construction: _ Cost of Construction: $ 3500.00 S. of First Floor: UtilitiestSewer OSeptic Building Height: OWNER/LESSEE: CONTRACTOR: Name Jeffrey Robbins Address: 1083 Nettles Blvd Name: '`canoe R Corbin Company: Dodd Enterprises Inc City: Jensen Beach State: FI Zip Code: 34957 Fax: Phone No. 954-480-7414 Address: 1296 SE Industrial Blvd City: Port St Lucie State: PI 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: doddenterprises@dodd.com State or County License: CMC1249958 if value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL 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: 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, 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. q A Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder STATE OF COUNTY OFORIDA ! r , , le— COUNTOY OFORIDA l� � The forgoing instru ent was acknowledged before me The forgoing instr,uTgnt was acknowledged before me this;)Xof ? 20(,by this may of d 201 �p by (Name of person acknowledging) (Signature of Notary Public- State of Florida ) Personally Known OR Produced Identification Type of_ldegtification Produced CumrjIissi-an Nr CONibrltSSiL'N �rr.rc�U•,•, 7RFS 'December 12.20117 0 - - 'q2'of rL: ••' ..,coni: ecw'n U'11 (Name of person acknowledging) (Signature of Notary ublic- State of Florida) = - Personally Known rJ OR Produced Identification R �` Type of Identification Produced - Commission No. * "= MyC©MMISSION #FF061668 EXPIRES December 12. 20117 e F R�-VIIEWS- FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW (467)338,0153 PLANS REVIEW y ennc Flo ridaNr:ta.'Y cam SEA TURTLE REVIEW MANGROVE REVIEW VEGETATION REVIEW DATE COMPLETE INITIALS