HomeMy WebLinkAboutRoote AC Change out permit app pg 1 001ALL APPLI LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
®
Building Permit Application
Planning and Development Services
Building and Code Regulation Division /
2300 Virginia Avenue, Fort Pierce FL 34982 J
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:
Address: r(� Q•
i'_ o
Legal Description: ll fU0f1� lM`I� O B<< �Oi7 i
PropertyTaxlD#: Lot No.
Site Plan Name: Z Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
UIVI Fpr LI Ke: V(5ia(l ntw 3fon�) SEeR 'lnox
wikh ro k0 heat.
CONSTRUCTION INFORMATION:
iti a wor to e e Orme un er t is permit- c ec a app y: (�(
HVAC fl Gas Tank❑jGas Piping _ Shutters ❑ Windows/Doors
Electric Plumbing OSprinklers Generator Roof
Total Sq. Ft of Construction:' r5 Ft. of First Floor:
Cost of Construction: $� (7 , 00 Utilities:0 Sewer Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name 5
Name: KtrKel
Address: ti.ak �Ifi12,. Qi
Company: I
triSbo3
City: State:_
Zip Code: Fax:
Phone No.
Addresss:5I0 6 PirTufn ft.L
City: Yunbi Ref"-, State: (_L
Zip Code: 34q5) Fax:-77.2--4&0-313-I
Phone No.-Tu- 40-414'1
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail:
State or County Ucen e: CA-C, 1$12313 V
if value of construction is 52500 or more, a RECORDED Notice of Commencement is required.