HomeMy WebLinkAboutSmidt AC Change out permit app pg 1All APPi.i~ INFO MUST BE COMPLET£D FOR APPLICATION TO BE ACCEPTED
Date: ~, 2J Permit Number: _______ _
COUNTY °"
~LOFc.tO.A.
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
Address: 0 / Norte..
Legal Description: Sput:rsh u.tk.t ,/
PropertyTaxlD#:_______________________ Lot No. ___ _
Site Plan Name:_______________________ Block No. __ _
Project Name: _____________________________ _
Setbacks Front~---Back: ___ Right Side: ___ Left Side: __ _
I DETAU.W OESCRtPTION OF WORK:
Li Ice .. for Li lc.t: ~stall ~ -ton I t4-S6~ RW,,LD kfl!.,
1spermit-c
AC Gas Tank as Piping
□Electric D Plumbing Osprinklers
Total Sq. Ft of Construction:-.-------
Cost of Construction: $ ~ DOO . 00
~ of First Floor:
Utilities: LJ Se\vpr I I Septic
OWNEfV~: · , .
Name a U'll l'Y\ (
Address:~ l..o.w:ls))e I No(-l<,
City: fli.(~ l( le.... State: r:<.,
Zip Code: 3L\.£\S I Fax: ______ _
PhoneNo:-11l-10&~qq l I
E-Mail: _____________ _
Fill In fee simple Title Holder on next page I if different
from the OWner listed above)
toHmACfOR:
D Windows/Doors
□Roof
Building Height: ___ _
If value of construction Is $2500 or more, a RECORDED Notice of Commencement Is required.