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HomeMy WebLinkAboutBrickman Application_000013�M 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 TYPEWC CHANGE OUT PROPOSED IMPROVEMENT LOCATION: Address: 10725 S OCEAN DR LOT #282. JENSEN BEACH FL 34957 Property Tax ID #: 4511-501-0096-000-8 Site Plan Name: Project Name: — Lot No. Block No. I DETAILED DESCRIPTION OF WORK: I I CONSTRUCTION INFORMATION: I Additional work to be performed under this permit — check all that apply: *Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Electric _ Plumbing _ Sprinklers _ Generator Roof Pitch Total Sq. Ft of Construction: __ Cost of Construction: $ 4,085.00 Sq. Ft. of First Floor: Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Jack J Brickman Ladawn G Brickman Name: Juan Cruzado Address: 10725 S Ocean Dr Unit 282 Company: Jensen Beach Air & Heat LLC City: Jensen Beach _ State: _ Zip Code: 34957 Fax: Phone No. 772-341-7778 Address: 2092 SE Hanford Rd. City: Port St. Lucie State: FL Zip Code: 34952 Fax: Phone No 772-334-3200 E -Mail: LGBCOUPONS282@GMAIL.COM Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail jensenbeachac@gmail.com State or County License CAC1818779 11 vdiue UT construction is aL5uu or more, a KtcuKutu Notice of commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.