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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 7/11/2017 Permit Number: s 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: 990 Nettles Blvd Legal Description: Parcel ID # 4502-501-1177-000-9 Property Tax ID #: Site Plan Name: Project Name: _ Setbacks Front Back: Right Side: Left Side: Lot No. Block No. I DETAILED DESCRIPTION OF WORK: I Change out 3 ton 14 seer Payne st cool pkg unit 8 kw heater like for like CONSTRUCTION INFORMATION; Additional work to e e orme under this permit— check a appy: ©HVAC n Gas Tank ❑Gas Piping _ Shutters Windows/Doors 11 Electric ❑ Plumbing Sprinklers 0 Generator 0 Roof Roof pitch Total Sq. Ft of Construction: _ Cost of Construction: $ 3800.00 S Ft. of First Fnnloor: _ Utilities:Sewer 0Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Dan Stafford Name: Vance R Corbin Address: 990 Nettles Blvd Company: Dodd Enterprises Inc City: Jensen Beach State: FI Zip Code: 34957 Fax: Phone No. 231-633-5580 Address: 1296 SE Industrial Blvd City: Port St Lucie State: FI 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.