HomeMy WebLinkAboutWeber AC Change out permit app pg 1.pdfBLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5 Permit Number: --------
Building Permit Application
Planning and Development Services
Building and Code Regulation Divisian Commercial Residential _ _,,"'"/ ___ _
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772} 462-1553 Fax: (772) 462-1578
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PERMIT APPLICATION FOR: A t ~ -Dt,ct'
PRQPOSl::O I
PropertyTaxlD#: ________________________ _ lotNo. ___ _
Site Plan Name: -------------------------Block No. __ _
Project Name: ________________________________ _
I DETAIU:O DESCRIPTION OF WORK:
New Electrical Meter Second Electrical Meter ----------
I CONSTRUCTION INFORMATION:
Ao/anal 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. o( First Floor: _________ _
Cost of Construction:$ L\(g 00. 00 Utilities: _ Sewer _ Septic Building Height: ___ _
Name fa.,
Addr7' ·-;-4~~~~W.1Llt....!_.!Ll!..l.C:c~---::a;-
City:\1'-""~"-""'->~'---------State:ft
Zip Code: ~ Fax:
Phone No.]~. 3sq. 003·-, -----
E-Mail:. ______________ _
Fill in fee simple Title Holder on r,ext page ( if different
from the Owner listed above)
CONTRACTOR:
Name:•...H1{1]rAt.Uc.J~'IJl.~--~-~---
Company:&\Jll ~~~~~ ,k
Address: ~QS4\:1~)£: M_:__
City: (1)(-b-l>iU-Cl. State: J;t.
ZipCode: *' Fax:JJ:J.-Pl,rr3137
Phone No111---':\<,( • '-I l41
E-Mail P0y(P-~ @.\.(Af!00./1/Jm
State or County License I CAC l if ~I '8 (,
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.