HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
J _
•
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 X
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 113 Queens Road, Fort Pierce, FL 34949
Legal Description: QUEENS COVE -UNIT THREE- BLK 25 LOT 6 (OR 1247-789:1920-1027)
Property Tax ID #
Site Plan Name:
1423-602-0006-000-2
Project Name: AC Changeout
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
4 Ton 16 SEER Split System AC Changeout, w/ l Okw heater
Lot No. 6
Block No. 25
CONSTRUCTION INFORMATION:
Additional work toe er orme under this permit — check a that appy:
HVAC 11 Gas Tank F]Gas Piping ❑_ Shutters ❑ Windows/Doors
Electric ❑ Plumbing ❑ Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ $3,800
SFt. of First Floor: _
UtiIitiestSewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Richard F McLaughlin
Name: Nationwide HVAC
Address: 113 QUEENS RD
Company: Nationwide HVAC
City: Fort Pierce State: FL
Zip Code: 34949 Fax:
Phone No. 7728285189
Address: 110 N Federal Hwy Unit 912
City: Fort Lauderdale State: FL
Zip Code: 33301 Fax: 2086937041
Phone No. 9546733565
E -Mail: skydancer4845@yahoo.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: service@nationwide-hvac.com
State or County License: CAC1818319
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
06/02/2017
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MORTGAGE COMPANY: Nvt Applkable
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SCINDWS COMPANY: Not Apptlrahte
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improvements to your pmp . A Notice of Commencemewtt must be recorded and posted on the jobsi[e
befnre the first Inspection.
if V u intend to obtain Peandng, consult with lender or attorney before
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