HomeMy WebLinkAboutHorvath AC change out permit app pg 1 001ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: b IV)
Permit Number:
Building Permit Application
Planning and Development Services
Building and Cade Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 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 IMPROVEMENTtOCATIOW -
Address:'
Legal Description:
Property Tax lD#3, r n1 i n.lo C /on \l5 Lot No.
Block No.
Site Plan Name:
Project Name: Left Side:
Right Side:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK: G({li�
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CONSTRUCTION INFORMATION: app Y:
e e orme un ert ispermit—c ec a Windows/Doors
Iti a wor to
❑Gas Piping _Shutters
Gas Tank �( 0—Roof
HVAC
Electric Plumbing o5prinklers L�. (Generator
r.. c+ of First Floor:
Total Sq. Ft of Construction'.
Cost of Construction: $ ° DO
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Utilities: ._Sewer 1_JSeptic Building Height:
CONTRACTOR:
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City: I VV
33�!/ Fax:
Code ,P• ' II,dO. IVOlE' � 3ol-In
Phone No. fin___ a✓� ---- Bb j
E-Mail: rf different
Fill in fee simple Title Holder on next page I
i from the Owner listed above)
Name: Fvt tt ''' ��p��p"""""" i c tiP 1lne • I
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Address:�(d5 ILLrrI �' r State.
city:or�r�tercei 373`I
Zip Code: i — Fax:
Phone No._ -� C
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State or County Licen e:
nt is required.
of construction - $2500 or more, a RECORDED Notice of Commenceme