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HomeMy WebLinkAboutTrombley AC Change out permit app pg 1 001ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:--fl 3 ZO Permit Number: ® 1' Building Permit Application Planning and Development Services Building and Cade 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 PROPOSED IMPROVEMENTLOCATION: lijd Qi,. Address: �� O �`` �,,..,,� (��� 7_4,6 I�Qf� Legal Description: I.11l��l`" 696 ?a14 -Ml 3 BIL Z© i Property Tax ID #: 1301 —603 -011:7 - 000- J Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: �ilcc. �i� l ilce: �Uts�ul ( new susdem WA torU) heat CONSTRUCTION INFORMATION: its a or to (e je Orme un er t is permit- c ec a app y: E]t Piping a Windows/Doors HVAC ( Tank as _Shutters _ —Gas Electric F-1 Plumbing []Sprinklers Generator 0 Roof Total Sq. Ft of Construction: SFt. of First Floor: 58�O.o� Cost of Construction: $ Utilities:�Sewer11Septic Building Height: OWNERAESSEE: CONTRACTOR: Name Name: Address: 51 I'i? yl Company: IJ(LL_� ! Yj( City: for PfeEe, State: Addre!ss:510Ar -& ' P:f 0. &Pf til _- City: fb(-Il' f (efC& State: R, Zip Code: 3LIa5I Fax: Phone No.ZZZ-2-05-0335 Zip Code: 3+151 Fax:i1�-�1 /Q-373-I E-Mail: Phone No.-M.- LRQI-414-1 Fill in fee simple Title Holder on next page ( if different E-Mail: State or County Licen e: `(.i4C 1$181 3 ID from the Owner listed above) If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.