HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 417/2016 Permit Number:
s'
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2306 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1.578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 941 Nettles Blvd
Legal Description:
Parcei ID # 4502-501-1127-000-4
Property Tax ID #: Lot No.
Site Plan Name: 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
9
Iditional work to be nertormed
HVAC Gas Tank
under this permit— check alln
[]Gas Piping
apply:
Shutters
Q Windows/Doors
Address: 941 Nettles Blvd
i
Company: Dodd Enterprises Inc
_
Address: 1296 SE Industrial Blvd
City: Port St Lucie State: FI
Zip Code: 34952 Fax: 335-3310
Phone No. 398-2344
11 Electric
Plumbing
11 Sprinklers 11
Generator
E] Roof
Total Sq. Ft of Construction: _
Cost of Construction: $ 3500.00
S Ft. of First Floor: _
Utilities:Sewer L_=1Septic
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Celine Grogan
Name: 'Dance R Corbin
Address: 941 Nettles Blvd
i
Company: Dodd Enterprises Inc
City: Jensen Beach State: FI
Zip Code: 34957 Fax:
Phone No. 646-256-4356
E -Mail:
Address: 1296 SE Industrial Blvd
City: Port St Lucie State: FI
Zip Code: 34952 Fax: 335-3310
Phone No. 398-2344
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 $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 fu[I 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.
r
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF,�
r
The forgoing instrun ent was acknowledged before me
this -I- day of 4k10VdJf
20 -4by
(Name of person acknowledging)
(Signature of No-taiy Public- State of Florida )
Personally Known OR Produced Identification
Type of identification Produced
Commission No.
SUZETTE RITCHIE
MY COMMISSION #FFmisos
1December 12, 2017
S6J-t�s
ig ture of Contractor/License Holder
STATE OF FLORIDA
COUNTYOF
The forgoing instrurjpent was acknowledged before me
this 4- day of 20 _ by
(Name of person acknowledging)
(Signature of Notary/ublic- State of Florida)
Personally Known OR Produced Identifications_` -
Type of identification Produced a
Commission No.
SUZETTE RITCHIE
14 pie` EXpiRES December 12, 2017
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