HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/30/17
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: Other
PROPOSED IMPROVEMENT LOCATION:
Address: 8880 S Ocean Drive Unit 1402
Legal Description: Island Dunes Oceanside Condominium I Unit 1402
Property Tax ID #: 3535-602-0124-000-5
Site Plan Name:
Lot No.
Block No.
Project Name:
Setbacks Front _ Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Like for Like AC Change out WATER SOURCE HEAT PUMP 3 Ton 13 eer NO KW
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: $ 2000.00
SFt. of First Floor: _
Utilities:cnSewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Robert C Mandeville
Name: Kim Wilson
Address: 54875 Alexis CT
Company: Premier Plumbing & Air LLC
City: Shelby Township State: MI
Zip Code: 48316 _— Fax: _
Phone No.
Address: 108 NE Dixie Hwy
–_
City: Stuart State: FL
Zip Code: 34994 _ Fax: 772-692-1094
Phone No. 772-692-2500
_ _
E -Mail:_
_ _
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: preplbgac@gmail.com
State or County License: 25222
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.