HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 61212016 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: 781 Nettles Blvd
Legal Description:
Parcel ID # 4502-501-0967-000-7
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 Payne st cool pkg unit 8 kw heater like for like
9
Additional work to be pertormed under this permit—check all apply:
HVAC Gas Tank OGas Piping Shutters [ Windows/Doors
L�IElectric Plumbing Sprinklers L_I Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 3500.00 Utilities:Cn Sewer E]Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name John Stevens
Name: Vance R Corbin
Address: 781 Nettles Blvd
Company: Dodd Enterprises Inc
City: Jensen Beach State: FI
Zip Code: 34957 Fax:
Phone No. 267-483-8221
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 Halder 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 52500 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:
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 Dome 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 l 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 fall 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
commencina work or recording our Notice of Commencement.
n ,R
_ Signature of Owner/ Lessee/Agent
Signature of Contractor/License Holder
STATE OF FLORIDA r j n,
STATE OF FLORIDA Uo
COUNTY OF
COUNTY OF
r
The forgoing instrurykent was acknowledged before me
`
The for oing instru nt was acknowledg d before me
2 �
this day of L 20 y
this day of 20 by
(Name of person acknowledging)
(Name of person acknowledging)
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(Signature of No Public—State of Florida
(Signature of Notary ublic- State of Florida ]
Personally Known OR Produced Identification
Personally Known tl� OR Produced Identification
Type of Identification Produced
Type of Identification Produced
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EXPIRES December 12, 2017
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