HomeMy WebLinkAboutPikora AC Change out permit app pg 1AllAPPUCABlE INFO MUST BE COMPI.ETED FOR APPLICATION TO BE ACCEPTED
Date: 4/z.-112.I PermitNumber: ______ _
COUNTY ~
f'LORI0.1\
Planning and Deve/r,pment Services
Bui/ding and OJde Regulation Division
Building Permit Application
2300 Vi,ginia Avenue, Fart Pierce FL 34981
Phone: (m) 462-1553 Fax: (772) 462-1578 Commercial ___ _ Residential ✓
Address: 51
Legal Description: SV4t1.1S'n Col.l.Y\~ Cl u,b. -:::::
PropertyTaxlO#:______________________ Lot No .. __ _
Site Plan Name:______________________ BloclcNo. __
Project Name: ____________________________ _
Setbacks Front.___ Back: ___ Right Side: ___ left Side: __ _
HVAC
□Electric
as Piping
0 Plumbing Osprinklers
ap .
Shutters
□Generator
D Windows/Doors
□Roof
Total Sq. Ft of Construction; _____ _
Cost of Construction: $ 4 800 .@
~ of First Floor.
Utilities: USewer □Septic Building Height: __ _
Name:~~l&.!..u,..,J,l.l~L'..o/.,.µ~~~---
Address: Lo.
c;tv,f,Qft Nuce..-State: K-
z;p Code: 3l¥l51 Fax:. ______ _
Phone No. Sg<,A i.,q.(z234:
E-Mail:. _____________ _
Fill in fee simple 1it1e Koldel' on next page ( If dilfet ait
from the Owner listed above)
Name: .M~~~~~~!.__--:---c-:--:c-----:=--
Company:
Address:5(0 ft
City: n,(b-fll(ce,, State: R....
ZipCode: ·3lf95j Fax:71)...-iJ.fc1/p-3J31
Phone No.1:tl.-9:(p(-414:1
E-Mail:boyleal',P\JO boo. c.a CD
State or County ucenk: c..Acl111111 a t,
If value of-ls $2500 or,_.,, a RECORO£D Notice af ~ is required.