HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11312017 Permit Number:
COUNTY
F L CI 14 I G 34 _M30
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
23010 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 10701 S. Ocean Dr. #829
Legal Description:
Parcel ID # 4511-510-0030-000-6
Property Tax ID ##:
Site Plan Name:
Commercial Residential x
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Change out 3 ton 14 seer Payne st cool pkg unit 8 kw heater like for like
Lot No.
Block No.
CONSTRUCTION INFORMATION:
Additional work to be ertormea under tispermit—check all appy:
HVAC Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors
11 Electric 0 Plumbing OSprinklers Generator 1:1 Roof Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 3500.00
SFt. of First Floor: _
Utilities: Sewer []Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Karen Nadeau I
Name: Vance R Corbin
Address: 10701 S. Ocean Dr. #829
Company: Dodd Enterprises Inc
Address: 1296 SE Industrial Blvd
City: Jensen BeachState:F1
Zip Code: 34957 Fax:
Phone No. 603-532-8214
City: Port St Lucie State: F1
Zip Code: 34552 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(gdodd.com
State or County License: 'CMC1249958
It value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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:
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 vour Notice of Commencement.
lid.. C��. s
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA, r ��x„ Ci
COUNTY OF l�
The for oing instr rr}entt was acknowledged before me
this day of 20 Eby
��--
(Name of person acknowledging)
STATE OF FLORIDA
COUNTY OF �A
The forgoing instrument was acknowledged before me
this day of 'nit 20 by
(Name of person acknowledging)
4�5XIUW' 1;kZWi'' gdolu
(Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification Personally Known OR Produced Identification.
Type of Identification Produced Type of Identification Produced -
Comrni iob &I" _ SUZETTE RITCH#I9) Commission No.
MY COMMISSION #FF061868
A.
SUZETTE RITCHIE
Ioridallotaryservice.com s
MY COMMfSSiON #FF061868
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