HomeMy WebLinkAboutMeade AC Change out permit app pg 1All APPLICArLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: W{ l/1..I Permit Number: _______ _
Building Permit Application / Planning and Development Services
Building and Code Regulation Division Commercial -----Residential ------
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: AC l~iifl
PROPOSED IMPROVEMENT LOCATION:
Address: 17 5
Property Tax ID#: ---"'--"'-"'--------------1----==------------lot No. ___ _
Site Plan Name: ________________________ _ Block No. __ _
Project Name: ________________________________ _
DETAILED DESCRIPTION OF WORK:
l.{J,{J) 3
New Electrical Meter ____ Second Electrical Meter _____ _
I CONSTRUCTION INFORMATION:
Ao/onal work to be performed under this permit -check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors Pond
Electric _Plumbing _ Sprinklers Generator Roof ____ Pitch
Total Sq. Ft of Construction: ______ _ Sq. Ft. of First Floor: _________ _
Cost of Construction: s 4leOD .60 Utilities: _ Sewer _ Septic Building Height: ___ _
OWNER/LESSEE:
Name
Addre--;-i.· --'t-"-J'--'-'L><"-,,--=--'---,--L_,._,'--'-____ ~
City: --'--"'--'-''--l'='-"--"---"-=-.=.,"'------State: ~
Phone No .. .1!!:JW!ll.:Ll~!flt:~,.!llll,UJ~-----
E-Mail:. ___ --"--'--"~"---q'-'-'_--'-tf,_.2/p='-----
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name:
~~;:e::;i1~=,t;r~~ft~ ,1&~
City: &it Piuc(... State: It.
ZipCode: ~I Fax:JJ:J·Jf:,r,-3737
Phone No11l,:-LJ<,(. l-114 I
E-Mail b,y{a.aa @ .. \.f4-boo. ('nm
State or County license Cite I jl ~, ~ (p
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.