HomeMy WebLinkAboutRinehart AC Change out permit app pg1 001ALL APPLICAII 11 MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: J
Permit Number:
Building Permit Application
Planning and Development services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 /
Phone:(77Residential
2)462-1553 Fax:(772)462-1578 Commercial Vf
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
'ROP4SED IMPROVEMENT LOCATION: `
Address: J M5 'a. ((gy p
Legal Description: IaIL w000( i� it - I I
Property Tax lD #: 1301- &04- 0 2 _0oo -
Site Plan Name:
Project Name:
Setback F
s ront Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
U�c2 �Or L►°fc� P'JV� nzu) 0 ffa(l a•S {mil, 1,!! 1� sEer2
3?11 V k(e, sl�sftm wifh 3 Ku) hear.
QJNVAC ( _J Gas Tank
Electric E Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ :1100.00
Lot No.
Block No.
t 1s permit- c ec a app y:
❑Gas Piping _ Shutters Q Windows/Doors
Sprinklers Generator 0 Roof
S F't�j. of First Floor: _
Utilities:l�Sewer Septic
Building Height:
._-...- —`r f ILYIE"'Af ' ` Name: IAA If-4 Idcl� .
Address: to S. QOQ¢,r! Dr {fZUZ Company:
city I� n PQ/ 1� State: _ Addresss:5(0 A- `itt mpikiz l
Zip Code: 3 •fI a 5j-7 Fax: City: rb �i RUES
t State: R—
PhoneZip Code: '� %{� 5 Fax: 7?� Llte -373'7
E-Mail: Phone No.'7%1- 4-6[_4l4,1
Fill in fee simple Title Holder on next page (if different E-Mail: On (Y1
from the Owner listed above) State or County Licen e: Ci 13181$
I
If value of Construction is S25M or mnre, a RECORDED NoBce of Commencement is