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HomeMy WebLinkAboutLudwig AC Change out Permit pg 1 001ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED L Date: _ 12o Permit Number: L J 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 PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line I�I rPROPOSED IMPROVEMENT LOCATION: Address: l0 IU W Legal Description: 10, R1(C Inq_ UN-.5 Property Tax lD #: (30t - O I iaD1 L 1 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION: OF WORK: i ce for UVI. ;V\SW( AeW isoojW 3 -tD, I(e neK ry, /k10 Nsr�m Wh 8 KW heo-4 . CONSTRUCTIONINFORMATION: l a wor to e VAC e GasTank is perm— check [:]Gas Piping all apply: Shutters Windows/Doors 11 Electric 0 Plumbing Sprinklers 11 Generator Roof Total Sq. Ft of Construction: 5q( Ft.of First Floor: Cost of Construction: $ 3766. 00 Utilities: LiSewer E]Septic Building Height: OWNER/LESSEE: CONTRACTOR: Namea Ll _ !� 1" Name t - AddreJJ��s:�9a�d� City: }�0 Vitro Stat . _ Zip Code:_3*11sl Fax: Phone No. 7- L- 571- 0 4X(f Company: �jj.f�l PION Address:5106 h IM k0— F?_t�9J. City: Y©Fb-R't rc& Zip Code: S 41 5 1 Phone No. a_ 4W-41+11 State: Fax: -71,2- 4& -373`i E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail:kl)\� t yahoo •_r:@d State or County License: i i1cC!$ i 8 i $ If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.