HomeMy WebLinkAboutScan_0001ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12120/2018
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: 525 Nettles Blvd
Legal Description:
4502-501-0711-000-8
Property Tax ID #:
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Change out 3 ton 14 seer Payne st cool pkg unit 8 kw heater like for like
Lot No.
Block No.
CONSTRUCTION INFORMATION:
Additional work to be erformed under this permit — check all appy:
OHVAC Gas Tank Gas Piping _ Shutters Windows/Doors
Electric ❑ Plumbing OSprinklers Generator LJ Roof Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 4000.00
SFt. of First Floor: _
Utilities:n Sewer L1 Septic
Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name Kenneth Emens
Address: 525 Nettles Blvd
Name: Vance R Corbin
Company: Dodd Enterprises Inc
Address: 1296 SE Industrial Blvd
City: Jensen Beach State: Fl
Zip Code: 34957 Fax:
Phone No. 609-494-7742
City: Port 5t Lucie State: A
Zip Code: 34952 Fax: 335-3310
Phone No. 398-2344
E -Mail: doddenterprises@dodd com
E -Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above) r
State or County License: CMC1249958
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.