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HomeMy WebLinkAboutDavies AC Change out permit app pg 1 - CopyAll APPLICAB INFO UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number. Building Permit Application Planning and DeMopment Services Building and Code Regulation Division Commercial Residential 2300 ilirg&sa Avenge, Fort Pierre FL 344982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: All: C _Otbe, PROPOSED t PROVEM€NT LOCATE: Address: Property Tax ID li: Site Plan Name: Project Name: _ New Electrical Meter Second Electrical Meter CQNMVCT 0N:1NPORMA`i ON: Lot No. Block No. Addi 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: ,r� Sq. Ft. of First Floor: Cost of Construction: $ 3-160• Q 0 Utilities. — Sewer _Septic Building Height: O NER/ SSEE: - CO TRi ►CT 3R: Name Its Name Address: .r,,� City: (I.2fCQ. 0 State Company: f S Address: CJ AT Zip Code.• 8 ;-- Fax: Phone No. • Z —42 85 City; t State: X• Zip Code: l Fax:,11s-1 Vdc 37 3:7 E-Mail: Phone No - 14141 Fill in fee simple Title Holder on next page ( if different E-Mail LbL 06. from the Owner listed above) State or County License rr vB'ue oT cmmrucnan i5 Z.'AW or moire, a Ht[.UilWLU rMti a of comrnencerrmit is required. If value of HAVC is $7,500 or more, a RECORDED Not of Conunauxmumt is required.