HomeMy WebLinkAboutDankovic AC Change out permit app pg 1 001ALL APPLI INFO MUST BE COMPLETED FOR APPLICATION To BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development services
Building and Code Regulation Division /
1300 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 IMPRO EMENT LOCATION:
Address:
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Legal Description:
&D/17 Sl(j 131L 1- �P
Property Tax ID#:,4 3410 - 503 024-7-000-5 Lot No.
Site Plan Name: Block No_
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
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sp�i�PC1C �fi wiih 5 KW bXL ap hear
RUCTION INFORMATION:
a war to e e orme un er t is permit - c ec a app y:
V
jAC Gas Tank ❑Gas Piping _ Shutters Windows/Doors
L I Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction:: ^� Sq. Ft. of First Floor:
Cost of Construction: $ gS00.0 Utilities: L_ISewer OSeptic Building Height:
OWNERAESSEE`
CONTRACTOR:
Name
Name:
Address: 5q3) K ZC11 W
Company: ( c
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City: 0& PI State: �
Zip Code: 3" $y Fax:
Phone No. �[D - $ 6 25
Address:5r0 A- -EiM I((cm 1-J
City: fbr-JPit?a'Ge, State
Zip Code:_. .3"5 i Fax: -712--4100-373-7
Phone No.-"g.- ikaf-414-1
E-Mail:
Fill in fee simple Title Holder on next page (if different
E-Mail:yi
from the Owner listed above)
State or County UcenSe: 9 A 18 l $1$ (P
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.