HomeMy WebLinkAboutDesmond AC Change out permit app pg 1 001ALL APPLIrCAi3 .E INFO MIST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ! Permit Number:
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�51 ,
e Building Permit Application
Planning and Development Services /
8oilding and Lode Regulation DivisionV//
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:
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Address: (I
Legal Description: i'
f
Ira 00ye, 51b
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0- 0_17
Property Tax ID#: 314 10 - 0 28O - 006-�9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK*
new Lwy, 3.s n I sEEP--
K2(�' Purn�p s�li1 fi(C �Vlifi Utl
5k/W (o k- t head
CONSTRUCTION INFORMATION:
ru a or to e e ormun ei t is permit - c ec a a q: y:
f] E]Gas Shutters Windows/Doors
HVAC Gas Tank Piping _
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0 Electric Plumbing 05prinklers 01 Generator � Roof
Total Sq. Ft of Construction:_ Ft. of First Floor.
oSeptic
( Cost of Construction: $ 000. 06 Utilities Sewer Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name i
ESW
Name:
Address: toF2 ialaft fj&jGA_ CII •
Compan nt! t11Pr1 I Gt9
The
City:k* Y leffe Stater.
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Addrelss: Id Pr _rU r1AkS- �t,��- J
City-fbl Refc& State:
Zip Code: 31�Qg% Fax:
Phone No.603
Zip Code: s051 Fax:-7?;-4&(0-373-1
E-Mail:
Phone No.' rlg- 0f -• 411 1
Fill in fee simple Title Holder on next Page I if different
E-Mail: �r a� p
State or County Licen e: CAC 1$ IS 1$ (D
from the Owner listed above)
If value of construction it $2596 or more, a REODRI ED Notice of Commencement is required.