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HomeMy WebLinkAboutLehoullier Main AC system change out pg 1 001ALL APPLICCA LE INFO MUST BE COMPLETED FOR APPLICATION To BE ACCEPTED Date: Permit Number: I 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 PROPOSED IMPROVEMENT LOCATION: Address: r Legal Description: i�i(r ( �r '\ n„� YI(�Qj ��() dW IC Property Tax ID ##: (313 — 0 a, - 6 60 4 - 000_3 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: "DETAILED DESCRIPTION OF WORK` Main AIC 54-S�Wjf40W( neW Lth()©9 a.s br►, I� SfreK A I L S JS-gM (dt4- i l k r0 VtMk- RUCTION INFORMATION: wor to e e orme un er t is permit - c e a epp y: VHVAC❑Gas Gas Tank Piping _ Shutters Lt Windows/Doors Electric Plumbing Sprinklers Generator ❑_ Roof Total Sq. Ft of Construction: 5 . Ft. of First Floor: Cost of Construction:$ q000.00 Utilities:SewernSeptic Building Height: OWNER/LESSEE: CONTRACTOR: Name 0 G Name: �f2_ Address: L4500 IZPL�LOC)(1(Y� �1' ll��j, IE Company: UOvt6 "'r, tlli'Y f4in 1�1na £ HP.� ifGr�. City CU({7 p1PYCL State: � Address: 5105` PrTLCrri�likl� Fet�b�'--Fi.L, " Zip Code: 301,61 Fax: City_ laf&IPref-c& State: R, Phone NOIIL-4QQ . 3� Zip Code: _'3" EFax:-77.7-- 4 jp((! - 3TS-7 E-Mail: ,/5� Phone No. -".I- 1p(-411-I ^s Fill in fee simple Title Holder on next page ( if different E-Mail: hD�/i nA hp0. C- ( from the Owner listed above) 7fre State or County License: %` Aa,181-3( $ If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.