HomeMy WebLinkAboutScan_0003All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/212020
Permit Number:
L `' ` LIL L' Building Permit Application
Planning and Development Service.
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 1081 Nettles Blvd Parcel ID # 4502-501-1268-000-4
Property Tax ID #:
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Change out 3 ton 14 seer Payne st cool pkg unit 8 kw heater like for Pike
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit– check all that apply:
_Mechanical
Electric
Gas Tank
Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 4500.00
—Gas Piping
Sprinklers
Lot No.
Block No.
_ Shutters _ Windows/Doors _ Pond
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: ._ Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name William Michaelsen
Name: Vance R Corbin
Address: 1081 Nettles Blvd `
Company: Dodd Enterprises Inc
City: Jensen Beach State: _
Zip Code: 34957 Fax:
Phone No. 609-389-0715
E -Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Address: 1296 SE Industrial Blvd
City: Port St Lucie State: Fl
Zip Code. 34952 Fax. 335-3310
Phone No 398-2344
E -Mail doddenterprises@dodd.com
State or County License CMC1249958
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.