HomeMy WebLinkAboutFails AC change out permit app pg 1 001ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division /
2300 Virginia Avenue, Fart Pierce Ft 34982 v/
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
IPERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line I(�
PROPOSED IMPROVEMENT LOCATION: If
Address: 1,7`I V a
Legal Description: Bzt'
3 Lis
Property Tax ID#: 130-" of -0043^(360'' Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
stct,t 4 a, 5 twl c 4 s Feg � qq i6lc Vr� - aekurac
lY fHVAC LJ Gas Tank
11 Electric Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 3i O D . 60
Piping I—_]Shutters
nklers ❑ Generator
_ SqFt.
of First Floor: _
Utilities: E ]Sewer Septic
Qwindows/Doors
E] Roof = Roof pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name I GSM a t
5
Name: Ml
.
Address: gb5o Peach
Company:
BoA rifimirtw
City:SS1f V State:Rk
Zip Code: '" ' ' Fax:
PhoneNo. g 'S0i
Address: 5105/c TLU((A(SI4
1r,1fJe( -pJ-
City:
Zip Code:
Phone Nod%a-
State:
5051 Fax: -?'I1 -4(e6-3-1
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E -Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E -Mail:.
State or Co my Licens_.
('ACI I $1 S 6
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.