HomeMy WebLinkAboutRevisions 09/07/2018 01:46PM 7724612036 Steve Smith A/C PAGE 01/01
ALL APPLICABLE 1 FO M ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dater Permit Number. �-k6i 611
Building Permit Application
Planning and DevelopmentServlCes
Building and Code Regulation Division
2300 Virginia Avenue,Fart Pierce FL 34982 �.
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox; click arrow at the end of line
Address:
Legal Description: Z J?70
1'l� � off' 2r�' z
PropertyTax lD#:Zr0z– Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side:' Left Side:
P5% lrr � � .0 r �t�
3- n �l t6��� SX o,� ,� , /� �Z A,/
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itiona wor o erformed un er t is perms –G eck all that appy:
( Gas Tank Gas Piping _Shutters Windows/Doors
Electric Q Plumbing ❑Sprinklers E—Generator 0 Roof Roof pitch
Total Sq.Ft of Construction: l� SQ. Ft.of First Floor:
Cost of Construction:$ Utilities: []Septic Building Height:
Name a z� it�'r Name: Steve Smith
Address: � e-ell- � Company: Steve Smith Air Conditioning
City Y;;�`4cva% State:, Address: 8001 Eden Road
Zip Code: Fax: City:Fort Pierce Stater
Phone No. ��� + S �/ ��_ Zip Code: 34951 Fax: 772 461-2036
E-Mail; Phone No.772 461-1425
Fill in fee simple Title Holder on next page(if different E-Mail: stevesmithacCaol.com
from the owner listed above) State or County License: CAC1813454 120071
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.