HomeMy WebLinkAboutScan_0001ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/10/2017
Permit Number:
CC)UNTY
F L O R [ I? q
Building Permit Application
Planning and Development Services
Building and Cade Regulation Division
2300 Virginia Avenge, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 675 Nettles Blvd
Legal Description:
Parcel ID # 4502-501-0861-000-4
Property Tax ID #:
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Commercial Residential X
Right Side: Left Side:
Change out 2 112 tan 14 seer Payne st cool pkg unit 8 kw heater like for like
CONSTRUCTION INFORMATION:
ACclitional Nork toe re orme�c under
OHVAC 0 Gas Tank
0Electric F]Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 3500.00
OWNER/LESSEE:
Na me Allan Bolhuis
Address:'675 Nettles Blvd
oris permit –cl
E]Gas Piping
Sprinklers
all that apply:
�L_JJShutters
FIGenerator
Sq. L. of First Floor: _
Utilities: Sewer f — J Septic
City: Jensen Beach State: FI
Zip Code: 34957 Fax: —
Phone No. 772-212-5833
E -Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
CONTRACTOR:
Lot No.
Block No.
QWindows/Doors
Roof Roof pitch
Building Height:
Name: Vance R Corbin
Company: Dodd Enterprises Inc
Address: 1296 SE Industrial Blvd
City: Port St Lucie State: Fl
Zip Code: 34952 Fax: 335-3310
Phone No. 398-2344
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.