HomeMy WebLinkAboutDavid Jones AC Change out permit app pg 1ALL APPi.i~ INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: _ljl1l.;l..-1 PermitNumber: _______ _
COUNTY -"'
FlDRIDT\
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
Commercial Residential
2300 Vif!Jinla Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (n2) 462-1578 --------
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address: ~ Pk.u/ ,
Legal Description: La ,l~~ wood PadC , 11 .o 1f-U ,
PropertyTaxlD#: 1301 .(pl3A Q1,,"Z-J-ooo .r, Lot No .. ___ _
Site Plan Name: ______________________ _ Block No. __ _
Project Name: _____________________________ _
t..,da. fo-r \)kt.: 'JNt~~ll nw> Uf\00)1.. 3.5 WY\, l(Q St6ie...
~flit-A.Jc s<;jst"t!Y'\ wifh to kw he.d.
as Piping
D Plumbing O Sprinklers
Shutters
□Generator
Total Sq. Ft of Construction: ______ _
Cost of Construction: $ 4tf at). {5D
~ of First Floor:
Utilities: LJSewer □Septic
Name~~;"-";~=s7"'-"'71'---.,..,.-----
Address: -.1¥,:1,';0~IJ.Q!W~_Ll~'\,,:_...[..l~:'.'.\----,--
City: 11)(1;, p (trGl
Zip Code: 3~'5 I Fax: ______ _
Phone No. :112:A 51 t\ ~ D lj-t:l '3
E-Mail: _____________ _
Fill in fee simple Title Holder on next page ( H different
from the owner listed above) ..
0 Windows/Doors
□Roof
If value of CiDIIStrUction ls $2500 or more, a RECORDED NotlCe of Commencement ls required.