HomeMy WebLinkAboutBuilding permitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3131/2016 Permit Number:
s
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: 10701 S. Ocean Dr. #932
Legal Description:
Parcel ID # 4511-510-0132-000-1
Property Tax ID #:
Site Plan Name:
Project Name:
Setbacks Front Back
DETAILED DESCRIPTION OF WORK:
Lot No._
Block No.
Right Side: Left Side:
Change out 3 ton 14 seer Bryant st cool pkg unit 8 kw heater like for like
9
Additional work to be pertormed under this permit— check all apply:
QHVAC Gas Tank []Gas Piping _ Shutters Q Windows/Doors
11 Electric Plumbing Sprinklers L �k' Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 3500.00 Utilities:Cn Sewer E]Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Tammy Lebel
Name: Vance R Corbin
Address: 10701 S_ Ocean Dr. #932
Company: Dodd Enterprises Inc
City: Jensen Beach State: FI
Zip Code: 34957 Fax:
Phone No. 772-229-0359
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: 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.
,7
_ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder
STATE OF 'FLORIDA
COUNTY OF 4i ��
The forgoing instrum ot was acknowleclgeq before me
this day of 20 jby
(Name of person acknowledging)
(Signature of Notary biic- State of Florida)
Personally Known OR Produced Identification
Type of Identification Produced
Commission v'p, ...• , ti7 T'; E FkbJ9Jr11E
MY COMMIS$KJN12, #FFO6 0
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Revi ad -0 tit � c014's Ftrr'irsallo ary Ice.cnm
STATE OF FLORIDA j � ,
COUNTY OF �u
CA—
The forgoing instru. g`ent w acknowledge before me
this day of 1�20 i by
o
(Name of person acknowledging) e
(Signature of No Public- State of Florida )
Personally Known V OR Produced Identification.
Type of Identification Produced _
CommissionIN 'Y 1 ea -
` ' € MY COMMISSION #FF061:F6R'
EXPIRES December 12, 2017.-_�.
(4W),;8-0153 FloridallotarySeruice.cam
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