HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9/29/2016 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
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 2127 Nettles blvd
Legal Description:
Parcel ID # 4502-501-0130-000-1
Property Tax ID #:
Site Pian Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Change out 3 1/2 ton 14 seer Payne st cool pkg unit 7.5 kw heater like for like
Lot No._
Block No.
CONSTRUCTION INFORMATION:
Additional war toe e oermun er tFF is per mit — c ec
❑Gas
a appy:
Shutters Q Windows/Doors
❑_ HVAC Gas Tank Piping
_
�Electric El Plumbing Sprinklers
1:1Generator Roof Roof pitch
Total Sq. Ft of Construction:
S Ft. of First Floor:
ElHeight:
Cost of Construction: $ 3600.00 Utilities
Sewer septic Building
OWNERAESSEE:
CONTRACTOR:
Name Mary Sanders
Name: Vance R Corbin
Address: 2127 Nettles Blvd
Company: Dodd Enterprises Inc
City: Jensen Beach State: FI
Address: 1296 SE Industrial Blvd
Zip Code: 34957 Fax:
City: Port St Lucie State: Fl
Phone No- 772-214-7947
Zip Code: 34952 Fax: 335-3310
Phone No. 398-2344
E -Mail-
Fill in fee simple Title Holder on next page (if different
E -Mail: doddenterprises@dodd_com
i
State or County License: CMC1249958
from the Owner listed above)
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 MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: 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:
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 our Notice of Commencement.
(2 ftp+ —'-L I Ixi
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA .�
COUNTY OF
The forgoing instr eF t w s acknowledged. before me
this day of ' 20 �by
(Name of person acknowledging)
— -NA/di id llj�
(Signature of Nota Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
REVIEWS
DATE
CIM PLE7 E
^='�SSJf1N #FF061a68
Mecember 12, 2017
— ,,,,-,aruice.com
✓� i
rz� C"— S
Signature of Contractor/License Holder
STATE OF FLORIDA.�
COUNTY OF I
The forgoing ins um ntas acknowledged before me
this day o 201 by
(Name of person acknowledging)
1
(Signature of taryPublic- tate of Florida }
Personally Known OR Produced Identification
Type of Identification Produced _
#FFOFit tf18
FX,PIRE51319cember'"
(Seal)
FRONT ZNINGLOUNTER REVIEW I S REVIEWOR I REVIEW REVIEW ON I SEA REV EWLE REVIEW E