HomeMy WebLinkAboutTighe AC Change out permit app pg 1'
All APPUCA90
Date: 7 ;2--Tl( MUST 8E COMPLETED FOR APPlJCATION liO
• -BE ACCEPTED
:fL LQc[~ -, -Permit Number; ~~----
P{aflfling and 1Je~0 1,,._
8 " -~vpf11ent Services 111,dmg and Cod. Building Permit Application
230() Vilflima A e Regulation Dirdsion
Phone: (772) ,;;;""-Fort Pierce Ff. 34982 Commercial
-1553 Fa,,: (n2)462-1S78 -----Residential
PERMIT APPL1CA,10N FOR: . -----
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New Electrical Meter ____ Second Electrical Meter ------/c
Add. ~nal 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:$ J.\-UJO • 00 Utilities: _ Sewer _ Septic Building Height; ___ _
0 WNER/LESSEE:
Na
Add
me~~==:.:._.;.!.:!~::__,,__ ____ _
ress: ,~on c@ Ave.,
. YQl1:i: Vi if C-l, State: K--City·
Zip
Pho
Code: Z>445I Fax:. ______ _
neNo. U31,. 3--Zlf-•5".::f .37
E-M ail,: ______________ _
Fill i n fee simple Tn:le Holder on next page I if different
m the Owner listed above) fro
CONTRACTOR:
Name::__Hk'b:!,l!.LJ::._~!!tJiL _______ _
& liiL ' I ~:;:~:~~~~~~~ ,k
City: (1)(-b PitrC(.. State: R..
ZipCode: WI Fax:JJ2:-ffk3"137
Phone No 11'.lcL-\u [ • .1-114-1
E-Mail boyt'4a!!. !, '-f4<h00, fln(Yl
State or County License CACI ii '812 "1
lfval ue of construction is 2500 or more, a RECORDED Notic:e of Commencement Is required.
ue of ltAVC is $7,500 or more, a RECORDED Notice of Commencement is required. lfval
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