HomeMy WebLinkAboutFeather Creek AC Change out permit app pg 1All APPLICABLE IIFO MUST BE COMPlflED FOR APPLICATION TO DE AC~PTED
Date: .5) 'i? _2-1 Permit Number: ______ _
COUNTY ---...
ftORiDA
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
Address: 5)0{,
Legal Description: r:\oHda,b ?t'~e;. ) lat 4os I 1?b4se. j[ 13
PropertyTaxtD#: !3j;, •'8'01 • 0]..0'8• 0/XJ-<g Lot No. __ _
Site Plan Name: ______________________ _ Block No. __ _
Project Name: _____________________________ _
Setbacks Front. ____ Back: ___ Right Side: ___ Left Side: __ _
Gas Tank as Piping
0 Plumbing Osprinklers
Shutters
□Generator
0 Windows/Doors
□Roof
Total Sq. Ft of Construction:_______ Sl j of First Floor:
Cost of Construction:$ iJ :Z.oo. ao Utilities: Sewer I l~eptic Building Height: ___ _
Zip Code:~~~--Fax: ______ _
Phone No. _____________ _
E-Mail: _____________ _
Fill In fee simple Title Holder on next page ( if different
from the OWner listed above)
Name: -"-'~""':'""--ir--~~"';-----:-------;--:-;--;-;----=-
Company:.OJ.!¥.lJ2...,J~:Jll(Mllil41~~:...l:1et.UJru1~1e.
Address:5/0 A
0ty: tOfb" H'l(ce., State: Fl.
Zip Code: ,3'1:45 / Fax:"11.:L•L{l,4,>-37~'1
PhoneNo.:t1J.-lfla(-414:1
E-Mail:b?'(leac e '{<I boo. co fl'.)
State or County Ucen2e: eJ.c Ii I'S ra (I
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.