HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/31/2016 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
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 536 Nettles Blvd
Legal Description:
Parcel I D # 4502-501-0722-000-8
Property Tax ID #:
Site Plan Name.
Project Name:
Setbacks Front
Back: Right Side: Left Side:
Lot No._
Block No.
I DETAILED DESCRIPTION OF WORK: I
Change out 3 ton 14 seer Payne st cool pkg unit 8 kw heater like for like
0
Additional work to be nertormed unoer this permit— cneex all appry:
HVAC LJI Gas Tank ❑Gas Piping _ Shutters a Windows/Doors
11 Electric Plumbing Sprinklers Generator LJ Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: S 3500.00 Utilities
Sewer OSeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Richard Perry
Name: Vance R Corbin
Address: 536 Nettles Blvd
Company: Dodd Enterprises Inc
City: Jensen Beach State:Fi
Zip Code: 34957 Fax:
Phone No_ 231-510-1500
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
I
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:
Zi p: 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. Ducie 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.
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF
The forgoing instrumen was acknowledged before me
thisday of _ /j 20 y
(Name of person acknowledging)
(Signature of Notary Pu . c- State of Florida )
Personally Known - OR Produced Identification
Type o" I4 't}f,,{i
SUZETTE RITCHIE
Comm rQn a' MY COMMISSION #FFOk IOM
'oa
EXPIRES December 12, 2017
l�evi.�e� {l7f t �1��14
Signature of Contractor/License Holder
STATE OF FLORIDA r p�
COUNTY OF b
Theforgoing instru�]e t was acknowledged before me
this �r day ofd 20 by
(Name of person acknowledging)
(Signature of Notary Public- State of Florida } -
Personally Known OR Produced ldentilic�ti6rn . .
Type of Identification Produced _ _
:+ rev COMMISSCON #FFoF3laes
398-Ot53
_ REVIEWS fR�l"+1T
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
pATc_
INITIALS