HomeMy WebLinkAboutSchwanz AC Change out permit app pg 1 001ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: s��pl �A Permit Number:
®
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: 5
- lUrc2 R, 3f51
Legal Description: UWWW1 'Parc. ^ ld In - ]Nk' 3521 wTS 7
Property Tax ID#: 1301-W4-015-600-9 Lot No,
Site Pian Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
CIETAILED DESCRIPTION OF WORK:
Ulct dor GIcc._ I ( YetN Unnoc 3100
5p(lt A(C s4Siwn With Q ku) Ham'
CONSTRUCTION INFORMATION:
iti a wor to a ve orme un er isPerm tt—c e a app
HVAC Gas Tank ❑Gas Piping _ Shutters Windows/Doors
ILIElectric F-1 Plumbing Sprinklers Generator Q Roof
Total Sq. Ft of Constructionf:� Sq. Ft. of First Floor:
Cost of Construction: Utilities: L=..[Sewer O Septic Building Height:
OWNERILESSEE
CONTRACTOR:
Name
Name: %n_
_
Address:
r� t
Company: &)VIP. Ri t1J6I1��Jyfhla ' mprHfiq'lile.
Address: 5106 -tfTloka a44A"EBld._
City:oOC-bStaterEV
Zip Code: -;OSI Fax:
Phone No. - o24p3%$
71oi
City:�f Re`c& State: Ri
Zip Code: 3"51 Fax:-71;L-4(o0-_37_'S-7
PhoneNo.-`(g- 461-414-1
E-Mail:
Fill in fee simple Title Holder on next page ( if different
E-Mail:VA41POP- ra hOQ• Cn tti
State or County Lteen e: Q&, IS l-9I S
from the Owner listed above)
If value of construction is $25OB or more, a RECORDED Notice of Commencement is required.