HomeMy WebLinkAboutNelson-New WH Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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-IYPE:Water heater
I PROPOSED IMPROVEMENT LOCATION: I
Address: 9650 S Ocean Drive, Jensen Beach
Property Tax ID #: 4502-610-0038-000-1
Lot No.
Site Plan Name: ,t` Block No.
SS Project Name: I' I n ce O I-/ cc ,, r, o T- 1( " 4 VtCL L)H it �O�V 1— j58�
DETAILED DESCRIPTION OF WORK:
Electric Water Heater Change Out —3 () q ((o Pl
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
Mechanical
Electric
Total Sq. Ft of Construction:
Cost of Construction: $ 1619
Gas Tank
Plumbing
Gas Piping
_ Sprinklers
_ Shutters
Generator
Sq. Ft. of First Floor: _
Utilities: -Sewer _Septic
Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Darin Nelson
Name: Dennis M Hogan
Address:4078 W 153 W St
Company: Roto-Rooter Services Company
City: Rosemont MN State: _
Address:1901 Green Ro6d, Unit H
Zip Code: 55068 Fax:
City: Deerfield Beach State: FL
Phone No.612-749-4246
Zip Code: 33064 Fax:
Phone No954-445-6521
E-Mail:darin@darinnelson.com
Fill in fee simple Title Holder on next page ( if different
E-Mail Tammy.Procino@rrsc.com
from the Owner listed above)
State or County LicenseCFC1428009
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
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