HomeMy WebLinkAboutGuerra AC Change out permit app pg 1 001ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: t A A Zo — Permit Number:
Building Permit Application
Planning and Development Services
Building and Code 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 IMPROVEMENT LOCATION:
Address: 25 fit) Dl.�
0_1rAa5 �j �,qY:� (y'P(tat
Legal Description: SBiN5h LOIS I,(AIA l lib
Property Tax ID #:
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: LeftSide:
DETAILED DESCRIPTION OF WORK:
Ula F'or Uke,: -QV,(( ntYJ RWD 13 iW 1 04 sEeP.
CONSTRUCTION INFORMATION:
IrIHVAC Gas Tank UGas
Electric ❑ Plumbing OSpr
Total Sq. Ft of Construction: vpl\ �7'�
Cost of Construction: $ 4"f W • I/J
Piping L_IShutters
nklers 0 Generator
_ S Ft. of First Floor: _
L tilities:n Sewer U Septic
Lot No.
Block No.
aWindows{Doors
0 Roof
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name:Itntulf:
kadx K&nnq
Name:.
a2
.. whij_
ss: })',?A mz di
Address:
Company:
City: F04 _ State
&Uf C
Zip Code: -ems I Fax:
Phone No. j;,- 3 o-1- 31 (oq
Address: Jr(O 'Fuy-Arskc, PitAgr
City: t- Pfow?; State: 11,
zip Code: 9051,'I Fax:-111- 1{t�o -3�i3Z
Phone No. D_- 161-it L+C 1
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail:
OD. CO PA
State or Cou ty License: I.LB I g. (p
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.