HomeMy WebLinkAboutGravely AC Change out permit app pg1 001ALL APPUCABLE INEO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5 21 20 _ 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
. „.•..,r,e�:,dAnonllrhAGNT':I ("KATION'.
Address: �")n t ""'�� ' "
Legal Description: L(�ICr'UJoUv� Park
Property Tax ID #: 1 3b i ' �4
Lot No.
Block No.
Site Plan Name:
Project Name:
Setbacks Front
Back: Right Side: Left Side:
SCRIPTION OF WORK:
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ION:
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ib a wor to j{e''��e orme un er t is permit - c ec a _ Q Windows/Doors
HVAC L� Gas Tank []Gasp+Ping ((��"jj
((��j Generator t Roof
Electric � Plumbing L,�Sprinklers Shutters
So. Ft. of First Floor:
Total Sq. Ft of Constructions
K Sewer�Septic Building Height:
Cost of Construction: $ 00 Utilities:
nNnrnIFR/LESSEE i CO NTRAC:T__OR _� _ — --
City: oo
Zip Code: JLiQ Fax:
Phone No.'I 40 - qq1 —
Fill in fee simple Title Holder on Hent page { if different
from the owner listed above)
Notice of Commencement is required.
Name: Iv%
Company:
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Addre!s�s:5(06 A' I� � State: �-
City: YUdE R
Zip Code: '3!{�� _— Fax:-7��`={ a(P 3�'��
Phone No.-Tla--
E -Mail:
State or County Licen e: �C
1818[8 tD
If value of construction is $2500 or more, a