HomeMy WebLinkAboutSmith AC Change out permit app pg 1 001ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: -7 l 1,+) 2-0 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 V/
Phone: (772) 462-1553 Fax: (772) 462-1S78 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 94140 Silt{ Law, W ft Nat . 34Q45
Legal Description:
Property Tax ID #: -,IL 1 I - O0�5 4 0001,5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
L�Io_ �r [aka-. �K6-faf( nW 3.5 fort 14 sEEC
pq"� t �ii f2Ul�tD (vri�► 10 ku) � 6at .
CONSTRUCTION INFORMATION: 0
HVAC U Gas Tank
Electric 0 Plumbing OSprinklers
Gas Piping
HShutters
ElGenerator
Windows/Doors
Roof
❑
Total Sq. Ft of Construction: r Sq. Ft. of First Floor:
Cost of Construction. $ `f OQ o • o O Utilities: 0 Sewer 0 Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name
Name:
Addrests�: I 315+
Company: C'Miji
City Statc EG
Zip Code�_3.3 6(tq Fax:
Phone No:ttviant.SrY11 IA
Addrefss.5 f7
City. i U(�i I fe(Z State:_
Zip Code: '3 i f5i f! Fax: ?7�- 416 9 -373` 1
PhoneNo,`",�-- tD(-41-4-1
l• i) E-Mai-'1 (Lygq
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail:. ci (ri
State or County Licen e: C Q, I 1813 IQ
•• ••••-- �• •� r�+o...+. •••.,�r, .. ncw�c�cu •vouce or,-ommencement is required.