HomeMy WebLinkAboutScan_0001.pdfAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/7/2021 Permit Number:
oU1
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
l
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 1063 Nettles Blvd Parcel ID # 4502-501-1250-000-5
Property Tax ID #:
Site Plan Name:
Project Name: _
Residential X
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: I
Change out 3 1/2 ton 16 seer Carrier st cool split system 10 kW heater like for like
New Electrical Meter Second Electrical Meter
CONSTRUCTION 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:
Cost of Construction: $ 7100.00
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Jacquelyne Rasmussen
Name: Vance R Corbin
Address: 1063 Nettles Blvd
Company: Dodd Enterprises Inc
City: JenseKBeach State: _
Zip Code: 34957 Fax:
Phone No. 386-717-5007
E-Mail:
Address: 1296 SE Industrial Blvd
City: Port St Lucie State: EI
Zip Code: 34952 Fax: 335-3310
Phone No 398-2344
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
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.