HomeMy WebLinkAboutMcGlynn AC Change out permit app pg 1 001ALL APPUCA LE lryo MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3 2 L.�' %�
Permit Number:
lsi-� I
'J
IAars
Building Permit Application
i fanning and Development5enrices
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residentialy
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: Jr� rK i (fi�L
Legal Description:
11 s' 14
Property Tax
Site Plan Name: Lot No.
Project Name: Block No.
Setbacks Front Back: Right Side: Left Side:
ut 1 AILED DESCRIPTION OF WORK:
LIICL: �*Stat1 FtW LL'vlrl" 3-lvva Ife6OCR 5F 1 (-F A(2,
Sy stem w'if'h 10I<W hem.
L-IHVAC 1 �I Gas Tank uGas Piping Shutters
Windows/Doors
Electric Plumbing Sprinklers Generator
Roof
Total Sq. Ft of Construction: r' S Ft. of First Floor:
Cost of Construction: $ `TSO�.w Utilities: USeptic Building Height:
OWN ERf LESSEE: CONTRACTOR:
Address: NO Killalrlw Ave, V
City: Nate State:
Zip Code: � : 45'Fax:
Phone No.J772 - 331- q1OS
F-KA-N. i
Fill in fee simple Title Holder an next page I if different
from the Owner listed above)
Name: M
Company:
City: M(b� Ff ef(& State:
Zip Code: 3 +Q 5 ( Fax: -71.7 -1-I(p(p -373"(
Phone No.71g.-A(p(_414-1
E-Mail: XYL�h -
State or County Licen e: CA I$ ($ [ 3
If value of construction is $25M or more, a RECORDED Notice of Commencement is