HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date_ 4/16/2018 Permit Number:
Building Permit Application
Planning and Developmeht Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
Address: 1209 Nettles Blvd
Legal Description:
Parcel ID # 4502-501-1396-000-0
Property Tax IU #:
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Change out 3 ton 14 seer Payne st cool pkg unit 8 kw heater like for like
Lot No._
Block No.
CONSTRUCTION INFORMATION:
CONTRACTOR:
Name Robert Madson
Address: 1209 Nettles Blvd
City: Jensen Beach State: FI
Zip Code: 34957 Fax:
Phone No. 303-8847884
Name: Vance R Corbin
Additional work toe nertormed un er
OHVAC Gas Tank
t is permit - c ec
Gas Piping
a appy:
_ Shutters
Windows/Doors
LJ Electric ❑ Plumbing
Sprinklers
ElGenerator
EIRoof Roof pitch
Total Sq. Ft of Construction:
SFt. of First Floor:
Cost of Construction: $ 3800.00
j
Utilities:nSewer L W�,ISeptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Robert Madson
Address: 1209 Nettles Blvd
City: Jensen Beach State: FI
Zip Code: 34957 Fax:
Phone No. 303-8847884
Name: Vance R Corbin
Company: Dodd Enterprises Inc
Address: 1296 SE Industriai Blvd
City: Port St Lucie State: FI
Zip Code: 34952 Fax: 335-3310
Phone No, 398-2344
E -Mail:
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.