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HomeMy WebLinkAboutBuilding Permit Application page 1ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 1131/2017 Permit Number: Building Permit Application Planning and DevelopmentServicES Building and Code Regulation Division 2300 Virginia Avenue, fort Fierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 1205 Nettles Blvd Legal Description: Parcel ID # 4502-501-1392-000-2 Property Tax ID #: Site Plan Name: Project Name: Setbacks Front Back: DETAILED DESCRIPTION OF WORK: Commercial Residential X Right Side: Left Side: Change out 3 ton 16 seer Rheem st cool split system 10 kw heater like for like Lot No._ Block No. CONSTRUCTION INFORMATION: Additional work- toe performed under this permit — check all appy: HVAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors 11 Electric ❑ Plumbing Sprinklers ElGenerator E]Roof Roof pitch Total Sq. Ft of Construction: S of First Floor: Cost of Construction: $ 4500.00 UtilitiesIn Sewer LJ Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name James Stilwell Name: Vance R Corbin Address: 1205 Nettles Blvd Company: Dodd Enterprises Inc City: Jensen Beach State: Fl Zip Code: 34957 Fax: Phone No. 772-229-6357 Address: 1296 SE Industrial Blvd City.. Port St Lucie State: Fl 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 $2500 or more, a RECORDED Notice of Commencement is required.