HomeMy WebLinkAboutElders ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/20/2020
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Permit Number:
Building Permit Application
Commercial Residential x
PERMIT TYPE: RESIDENTIAL HVAC CHANGE OUT
PROPOSED IMPROVEMENT LOCATION:
Address: 648 NETTLES BLVD. JENSEN BEACH FL 34957
Property Tax ID #: 4502-501-0834-000-6
Site Plan Name:
Project Name: ELDERS CHANGE OUT
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF ONE 2 TON 14 SEER GRANDAIRE PACKAGE UNIT
WITH 10 KW ELECTRIC HEATER & USING OZONE FRIENDLY 410A REFRIGERANT.
CONSTRUCTION INFORMATION:
Lot No.
Block No.
Addnal work to be performed under this permit — check all that apply:
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_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: .
Cost of Construction: $ 4200
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Alfred Elders Jr Carol J Elders
Name: Juan Cruzado
Address: 6705 Cedargrove E
Company: Jensen Beach Air & Heat LLC
City: Jenison, MI State: _
Zip Code: 49428 Fax:
Phone No. 616-422-6026
Address: 2092 SE Hanford Rd.
City: Port St. Lucie State: FL
Zip Code: 34952 Fax:
Phone No 772-334-3200
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Maili . ensenbeachac@gmail.com
State or County License CAC1818779
IT value oT construction is >z5uu or more, a KtCUKDtD Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.