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HomeMy WebLinkAboutScan_0001ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 12114/2017 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: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 228 Nettles Blvd Legal Description: Parcel ID # 4502-501-0414-000-6 Property Tax ID #: Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: Change out 3 1/2 ton 14 seer Payne st cool pkg unit 8 kw heater tike for like Lot No._ Block No. CONSTRUCTION INFORMATION: Additional work toe e rmed under this permit —check a appy: CJHVAC Gas Tank 0Gas Piping _ Shutters Windows/Doors 11 Electric 0 Plumbing Sprinklers EJGenerator El Roof Roof pitch Total Sq. Ft of Construction: __-_ Cost of Construction: $ 3800.00 S Ft. E of First Floor: _ Utilities In Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Rita Matz Name: Vance R Corbin Address: 228 Nettles Blvd City. Jensen Beach State: Fl Zip Code: 34957 Fax: Phone No. 772-229-9692 Company: Dodd Enterprises Inc Address: 1296 SE Industrial Blvd City: fort St Lucie State: Fl Zip Code: 34952 Fax: 335-3310 Phone No. 398-2344 E -Mail: Fill in fee simple Title Halder on next page ( if different from the Owner listed above) E -Mail: doddenterphses@dodd.com State or County License: CMC1249958 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.