HomeMy WebLinkAboutScan_0003 ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/20/2018 Permit Number:
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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: 3712 Mockingbird Hill Lane
Legal Description:
Parcel ID#4504-310-0018-050-5
Property Tax ID#: Lot No.
Site Plan Name: Block No.
Project Name: "
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Change out 2 ton 15.5 seer Rheem heat pump split system 5 kw heater like for like
CONSTRUCTION INFORMATION:
Additional work to be performed under t is permit—check all apply:
CIHVAC L_J Gas Tank Gas Piping _Shutters Q Windows/Doors
1-1 Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 4200.00 Utilities:Sewer oSeptic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Erik Tallbacka Name: Vance R Corbin
Address:3712 Mockingbird Hill Lane Company: Dodd Enterprises inc
City. Jensen Beach State:FI Address: 1296 SE Industrial Blvd
Zip Code: 34957 Fax: City: Port St Lucie State:FI
Phone No.772-287-4530 Zip Code: 34952 Fax: 335-3310
E-Mail: Phone No. 398-2344
Fill in fee simple Title Holder on next page t if different E-Mail: doddenterprises@dodd.com
from the Owner listed above) State or County License: 'CMC1249958
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.