HomeMy WebLinkAboutPermit Pg 1 All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9/29/2020 Permit Number:
D.
V e c , Din BuildingPermit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential YES
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1575
PERMIT APPLICATION FOR:HVAC -AC CHANGEOUT
PROPOSED IMPROVEMENT LOCATION:
Address: 113 SE Camino ST_ Port Saint Lucie, FL 34952
Property Tax I#: 3419-515-0248-000-6 Lot No 12
Site Plan Name: RIVER PARK-UNIT 3 Block No. 29
Project Name:
DETAILED DESCRIPTION OF WORK:
Replacement Equipment, 3.5 on, 1 OKW Heater
Cond: RA1642AJ1 NA
AIR HANDLER: RH1T4821STANJA
New Electrical Meter NO Second Electrical Meter NO
FCONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
Mechanical _Gas Tank —Gas Piping _Shutters _Windows/Doors _Pond
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
00
Cast of Construction: $ 5100. Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name L)onald Mouilleseaux Name:
Address: 113 SE amino ST Company: '
Port Saint Lucie p y
City: State: Address:
Zip Code: 34952 Fax: City: VERO BEACH State:
32962
Phone No. 0 Zip Code:77�2�7$�3.�i Fax:
E-Mail: Phone No
Fill in fee simple Title Holder on next page (if different E-Mail Info Immacu ate-air.com
from the owner listed above) State or County License
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.