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HomeMy WebLinkAboutScan_0001ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 10/9/2017 Permit Number: Qj 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: 1294 Nettles Blvd Legal Description: Parcel ID # 4502-501-1481-000-3 Property Tax ID #: Site Plan Name: _ Project Name:_ Setbacks Front_ Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Change out 3 ton 15 seer Rheern st cool split system 10 kw heater like for like 11 HVAC Ll Gas Tank 11 Electric ❑ Plumbing Total Sq. Ft of Construction: Cost of Construction: $ 4500.00 Lot No. Block No. under this permit— check allapply: ❑Gas Piping In Shutters n� Windows/Doors Sprinklers 0 Generator LTJ Roof Roof pitch S�Ftj of First Floor: _ Utilities: LJ Sewer 0 Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Gunnar Berg Name: Vance R Corbin Address: 1294 Nettles Blvd Company: Dodd Enterprises Inc City: Jensen Beach State: Fl Zip Code: 34957 Fax: Phone No. 772-229-5885 E -Mail: Address: 1296 SE Industrial Blvd City: Port St Lucie State: FI Zip Code: 34952 Fax: 335-3310 Phone No. 398-2344 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.