HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/30/2016 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2.300 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: 352 Nettles Blvd
Legal Description:
Parcel ID # 4502-501-0538-000-1
Property Tax ID #:
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No.
Block No.
Iditional work to be ertormeu unciertnis permit —ci
HVAC 11 Gas Tank E]Gas Piping
[] Electric E] Plumbing Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: S 3500.00
LJ Shutters
Generator
Sq. Ft. of First Floor: _
Utilities Sewer L_ Septic
QWindows/Doors
® Roof Roof pitch
Building Height:
OW N E RAESSEE:
CONTRACTOR:
Name Arleen Hahn
Name; Vance R Corbin
Company: Dodd Enterprises Inc
Address: 352 Nettles Blvd
City: Jensen Beach State: FI
Zip Code: 34957 Fax:
Phone No. 772-229-2641
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
If value of construction is 525DO or more, a RECORDED Notice of Commencement is requireu.
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:
Address:
BONDING COMPANY: x Not Applicable
Name:
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 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 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
commencine work or recordinlw your Notice of Commencement.
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Signature of Owner/Lessee/Contractor as Agent for Owner
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Signature of Contractor/License Halder
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COUNTY OF COUNTY OF
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(Name of person acknowledging)
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Personally Known t/ OR Produced Identification
Type of identification Produced
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(Signature of N ary Public- State of Florida )
Personally Known L/ OR Produced Identification
Type of Identification Produced _
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