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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 7112/2016 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 PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 2050 Nettles blvd Legal Description: Parcel ID ## 4502-501-0053-000-7 Property Tax ID #: Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: Residential X Lot No. Block No. DETAILED DESCRIPTION OF WORK: I Change out 3 ton 14 seer Payne st cool pkg Unit 8 kw heater like for like W CONSTRUCTION INFORMATION: Additional work to be erformed under this permit —check all appy: HVAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors Electric ❑ Plumbing Sprinklers 0 Generator D Roof Total Sq. Ft of Construction: Cost of Construction: $ 3500.00 Sq. Ft. of First Floor: UtiIities:Sewer 11 Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Charles Johnson Name: Vance R Corbin Address: 2050 Nettles Blvd Company: Dodd Enterprises Inc City: Jensen Beach State: Fl Zip Code: 34957 Fax: Phone No. 772-229-2204 Address: 1296 SE industrial Blvd City: Port St Lucie State: FI Zip Code: 34952 Fax: 335-3310 Phone No. 393-2344 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 Nat 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 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 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 v r Signature of Owner/ Lessee/Agent STATE OF FLORIDA COUNTYOF r The forgoing instrun ent was acknowledged Pefore me this ay of - 20 y a (Name of person acknowledging } (Signature of Notary, Pbb[ic- State of Florida ) Personally Known ✓ OR Produced Identification Type of Identification Produced Commission ,,. TTE OPOHIE r _ MY COMMISSION #FF061868 ° EXPIRES ecem rrc20i �2f�V1SP.4� {���a'4�bfFIu�3 Floridallo4arySen+ice.com Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF 6�,Q_, The forgoing instru ent,was acknowledged before me this \allay of 20 "'tom by (Name of person acknowledging) (Signature of Notar ub[ic- State of Florida) Personally Known OR Produced Iderrtir�ation..f F` rte' Type of Identification Produced Commission No. (Sea!I .:- +4'"'" SUZETTE RITCHIE � 0 *= MY COMMISSION #FF061€ 0,8 �� REVIEWS- I MONT ZONING SUPERVISOR 407} 399.0*,53 V tAld FIr]rl�{r�hniar• ��rJle TLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW JANE`- COMPJI ETE INITIALS