HomeMy WebLinkAboutWatson AC Change out App pg 1 001ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4 l C i l i q Permit Number:
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
I PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of lige I6
PROPOSED IMPROVEMENT LOCATION: 1
Address: 1 (SUS
Legal Description:
Property Tax ID #: 9-303 -,9-f l-007..Sj -000/5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
1, i k4 iX �i ke : J stu t I new Rii idai 1-e�; l u 5�,ER 3 -ro rJ AIC,
aaCkac� Icxllf wish 10 Kw hmk,
{ CONSTKUCTION INFORMATION: III
L=11fVAC I I Gas Tank }_(Gas Piping L_1 Shutters
Electric 1:1 Plumbing �Sprinl
Total Sq. Ft of Construction::' i+ 7�
Cost of Construction: $ "i i�V i V • Do
ars 1:1 Generator
Sq� Ft. of First Floor: _
Utilities" �ISewer[:]Septic
aWindows(Doors
Roof = Roof pitch
Building Height:
OWNERAESSEE;
CONTRACTOR:
Name ffS I ROME S
Name: f ei
Address: QOl Kw 31S4- kyt.
Company: BO t ,r +ivylln
City:_ �01VLfN410 ?J1,1( State: R-
Zip Code: 9OfoQ Fax:
Phone No.'ff,VIA& Garb Matson
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1
Address: 51-M /k Il ffil2la CJ6 -
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City:rrJNice State: Ft,
Zip Code: 34q 51 Fax:
Phone Ngo�"".''
E -Mail ik
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
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E -Mail: h0\/11 PA0 � l.I a k o .6 U M
State or Codnty License MCI$ISIB(.
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.