HomeMy WebLinkAboutWilbur AC Change out permit app pg 1 001ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: _ 5 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
Address:_
Legal Description:
5D oOQ_ g Lot No.
Property Tax ID #: Block No.
Site Plan Name:
Project Name: Left Side:
Setbacks Front
Back: Right Side:
DETAILED DESCRIPTION OF WORK:1(,p Seep- S�lil-
Lifct ntw Lt v k a-5 tor',
P�[C 51&ttT Iuikh '?ko kuvt.
.\vima waOrme
t
un ert is perms — Shutters
❑bas
Windows/Doors
VAC
Gas Tank
P�pmg
((��
Roof
Electric
Plumbing
oSprinklers Generator
So. Ft. of First Floor:
Total Sq. Ft of Construction:
pQ O.00
Utilities: Sewer
Septic
Building Height:
Cost of Construction: $
CONTRACTOR:
OWNER/LESSEE:
Name: i
nrt�tl btu
ttidt^�1(A i�PLtt1Q
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Name
17,1u�. Company: i2 , - _,
_.. �
Zip Code -Fax:
Phone
SAS
FFaaxx':,
Phone No -T iri -st����0
Fill in fee simple Title Holder on next page ( if different
from the owner listed above)
��� �� State:_
city: YU _7W-'R04P-373't
Zip Code:_ —1 Fax
Phone NO -_r19__
i)rinl �kl�i 0
E -Mail:
State or County Licen e:
181818 (p
nt is required.
if value of construction is $uOO or more, a RECORDED Notice of Commenceme
�7
Name:
Address:
City: State: -
Zip: Phone
3 l -cam city -
a 4
MORTGAGE CONV Ky.� otAppticabie
Name:
Address:
may: state:
Zip: Phone -
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In consicimf on at the g animg Qf �iis cer;uested Ped. i do hereby agree that t wilt, in ale respects. Perform the work
in ac coldanceMitththe approved v= the Militia 8widiog Codes and St Lucie County Amendments.
The foliowingbudiogPerfriltapplicationsare
exempt fro
cas undergoingaMailw rreae es toarradwroan Q -r d rttatuse
accessory sttuctnaes, sv wined fng POW%fences, setts scaeen morns and accessory,
for
v A 'i€H t3 Yom iaRsare to Reta7rd a itiotica€f Coortmencesnent may result in Paid mice
improvements W your { )pert}. A Nuance of COmmenterneltt must b� recorded and posted on the jollstte
before the fast inspecFxort. if para intend to obtain firtanc nga consult vAth tender or an attorney before
CTATE OF RDRIDA
f
a s
TheTi •Lei I F- -.4 .f _.i k:-tF-} veme
} 1l i , 210_LV by
f A
Persmaft Known
t: v fF _3 . FS T.tIo
Produced,
Commission
Notary Public - State ofilorida
Commission a GG 017839
�� •ESlYI,L.ii
Rev. 812117
The
irstrument was acknowledged
tIlJ fi
1 F
rl BDl
Name of persorhmWig r ,
- s-
OR Produced Idenuftcabm—
Type
Weretifkation
Produced
]jSWmbure
4, T itj
CHRISTINE J. CONWELL
Notary Public - State of Florida
RE-iti€iN