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HomeMy WebLinkAboutBuilding Permit ApplicationSUPPLEMENTAL 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, wails, 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 n;im 'em - 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. Signature of OwnJLessee/Contractor as Agent for Owner STATE OF FLORIDA 4� COUNTY OF The forgoing instru ent was qicknowledged,.gefore me this day of QkJ,, 20 by (Name of person acknowledging) nitref Notar ublic- State of Florida Personally Kmow.> OR Produced Identification ` . Typi,&Qdentifi-,io,—, Produced Comms f RIiTC!`�) 1SS10S<f �FFOPii868 §•y SAY CQMM om 7 ° _y IRF -S DecemuG' IZev1S . W 14 Flo6daNata'yServiee.eom {447) 39 l REVIEWS FRONT ZONING SUPERVISOR COUNTER REVIEW REVIEW DATE COMPLETE INITIALS IC Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF The forgoing instr men}t was acknowledged before me this [ d 20 by ulc�� 4 C_-� �' (Name of person acknowledging) (Signature of Notary Public- State of FloridasY- \ �qI Personally Known OR Produced Identiflci#ion ; •;; Type of Identification Produced Commission No. (Seal) A SUZETTE RITCHIE aY, My CaMMISSION #FFo81868 ,v,f Frio"r' EXPIAES(igC�mf,-- MY) �Vcxjfw Floridallofa.yr PLANS VEGI_'IAIIti � R7.e"'Jff%E_ MANGROVE REVIEW REVIEW REVIEW REVIEW ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 11/1/2016 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 X PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROVEMENT LOCATION: Address 2080 Nettles Blvd Legal Description: Parcel ID # 4502-501-0083-000-6 Property Tax ID #: Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Change out 3 ton 14 seer Payne st cool pknl i inif 8 lnnr heater like fnr Iii, - Lot No. Block No. CONSTRUCTION INFORMATION: Additional work to be nertormed under this permit— check all that apply: ©HVAC Gas Tank F]Gas Piping El Shutters Windows/Doors 11 Electric 0 Plumbing Sprinklers []Generator � Roof I � Roof pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: FICCost of Construction: Utisit,! S C V-, C,- =1c P OWNER/LESSEE: - - CONTRACTOR: Naw,e: Address: 2080 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 _ 315-254-4824 Zip Cc,1 _ . 349.52 E -Mail: _ Phone No. 398-2344 Fill in fee simple Title Holder on next page ( if different E -Mail: doddenterprises@Vlouu.co from the Owner listed above) State or County License- CMC1249958