HomeMy WebLinkAboutCunningham AC Change out pg 1 001i
ALL APPUCAfLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11(,J ?-Ci
Permit Number:
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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:
iUJIOR/n��AI(II���
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Legal Description: 1� I31,vl pmls
Property Tax ID i;: '%3n5-9(I —00 25 - 0 00 /5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Lila Or Ula. :�Vsfa viewt2uup �� �� 3.s+��1, WSat
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INFORMATIONa
VCONSTRUCTION
war to e e Orme un ert is permd -c ec a app y:
VAC 01 Gas Tank [—]Gas Piping _ Shutters F]Windows/Doors
F
Electric Plumbing Sprinklers 01 Generator 0— Roof
Total Sq. Ft of Construction: 5 Ft. of First Floor:
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Cost of Construction: $ `7 o Q- Q 0 Utilities:11Sewer n Septic Building Height:
OWNER/LESSEE; CONTRACTOR:
NanI QS
Name: 1 +
Addres : W 3 f s+ i�1/2 .
Company: BD�d1P fl1( i�)YkdyilYtfA HPItlRG
City: �mj �( g e T� State:
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Address:�(d i� TG(fYl �ii(CSL �pt
City: W-i FFfffc& State:_
Zip Code: Fax:
PhoneNo.Au&(L{:wuCU,i1niyYg1�YY1 146_3U_
zip Code: '3"5) Fax: -71
E-Mail: 1005
Phone No.-"A-
Fill in fee simple Title Holder on next page ( if different
E-Mail:
r 1
State or Couniy License:
from the Owner listed above}
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.