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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 513/2016 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 Address,. 1026 Nettles Blvd Legal Description: Parcel 1D # 4502-501-1213-000-4 Property Tax M #: Site Plan Name: I Lot No. Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Change out 3 ton 14 seer Bryant st coal pkg unit 8 kw heater like for like W ]Clltional worKto nepertormea Gas Tank undertnis permit— cnecKall E]Gas Piping appy: Shutters E1HVAC a Windows/Doors L]j Company: Dodd Enterprises Inc City: Jensen Beach State: Fl Zip Code.. 34957 Fax: Phone No. 204-510-2740 Address: 1296 SE Industrial Blvd 11 Electric 0 Plumbing Sprinklers Generator a Roof Total Sq. Ft of Construction: Cost of Construction: $ 3500.00 SFt. of First Floor: _ Utilities:cn Sewer [ Septic Building Height: OW N ERAESSEE: CONTRACTOR: Name Alexandra Saborowski Name: Vance R Corbin Address: 1026 Nettles Blvd Company: Dodd Enterprises Inc City: Jensen Beach State: Fl Zip Code.. 34957 Fax: Phone No. 204-510-2740 Address: 1296 SE Industrial Blvd City: Port st Lucie State: Fl 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 LAVH INFORMATION: DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable Name: Name: Address: Address: City: Stater City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable Name: Name: -' Address: Address: City: City: Zip: Phone: Zip- Phone: 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. `J _ Signature of Owner/ Lessee/Agent STATE OF FLORIDA`. COUNTY OF The forgoing insum st was acknowle20 \k ebf�re me this ay of 20 L (Name of person acknowledging) (Signature of Notary Public- State of Florida ) Personally Known ✓ OR Produced Identification Tq e?t-der;.tific'ation Produced mis ;on MNn. (Seal) 9 bony P .r:r-rEE RITCH C©mmiSSION OFFf+6111i! tt u, R s Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF The forgging instrpm n,'Qt was acknowledged before me this .ping of l 24 by IL (��J (Name of person acknowledging) (Signature of Notary u lic- State of Florida } Personally Known OR Produced Identif-ka-tlorn Type of Identification Produced Commission No. diff) REVIEWS FRONT ZONING SUPERVISOR P COUNTER REVIEW REVIEW REVIEW DATE COMPLETE INITIALS +i nry caiJl 2017 P EgpjAES 11eCemY��r EGETATION I SEA TURTLE MANGROVE REVIEW REVIEW REVIEW