HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 011 1/201 6 Permit Number:
J
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: 474 Nettles Blvd
Legal Description:
Parcel ID # 4502-501-0660-000-5
Property Tax ID #:
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Change Out 2 1/2 ton 15.5 seer Rheem st cool split system 8 kw heater like for like
Lot No..
Block No.
f CONSTRUCTION INFORMATION:
Additional work to be performed under this permit=check all that apply:
11HVAC LSI Gas Tank E]Gas Piping Shutters Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 4000.00
OWNER/LESSEE:
Name Ricor Properties LLC
Address: 474 Nettles Blvd
S Ft. of First Floor:
Utilities: Sewer El Septic Building Height:
City: Jensen Beach State: FI
Zip Code: 34957 Fax:
Phone No. 248-514-8778
E -Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
CONTRACTOR:
Name: Vance R Corbin
Company: Dodd Enterprises Inc
Address: 1296 SE Industrial Blvd
City: Port St Lucie State: FI
Zip Code: 34952 Fax: 335-3310
Phone No. 398-2344
E -Mail: doddenterprisesa@dodd.com
State or County License: CMC1249958
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
:11I
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 your Notice of Commencement.
'`,. }W � �� � r�. �,.✓�^'�-tip � � �`.r
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDAt(y,-Q_ STATE OF FLORIDA_
COUNTY OF COUNTY OF
The forgoing instru nt a acknowledge ,,before me
this day o 20 AWby
(Name of person acknowledging)
E
;�)q vlkj�A
(Signature of Notary)jIlic- State of Florida }
Personally Known OR Produced Identification _
Type of Identification Produced
Commission No. �C o �+� J _jSel}
,'AypU" {JZE 1 � f.� RjTCV4I
s nni aFFOB186Ei
MY wivl�:l.1.-
S Decett tier 12, 2t717
h:e service.com
;S 4.O1, filoric4 sNoiry
REVIEWS _ FRO NT ZONING
-CpTfNTER REVIEW
-DATE _ _ -
(.
COMPLETE
I �I7Vifif�Ls,
The forgoing instrument cknowledgefore me
this t( day of ��. CA- . 20 by
(Name of person acknowledging)
(Signature of Notary Public- State of Florida }
Personally KnownF _ OR Produced Identification
Type of Identification Produced
Commission No. (Seal)
SUZETTE RITC1411E '-
f Y = ✓
lj v MY COMMISSION #FFO6186S
a
a iY�li]
{1UJ� `isl8 t7! , r S @Y1nR+r
SUPERVISOR PLr%14'j - _ -/QIiE
REVIEW REVIEW REVIEW REVIEW
M AN Q - KOBE
REVIEW