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HomeMy WebLinkAboutHightower_ AC Permit ApplicationA[::tpe:LicAir5N;:7:s;BicoMPLFTEDFORAppLlcATloNTOBE:::::tT::mber: (_,_ 2 -5\ -a- Nl E EL © a I B`i art+LI Bui|dingpermitApplication P:au:,:I,nn: :nn: :oe:ee'°R:gmue,:ttjsoenrv:jcv;ssjon comm erc-ia| i Resl d e ritilal 2300 Vjrg.Inia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERM,TAppL,cATioN FOR: #c o;i4fler c57c+ PROPOSED IMPROVEMENT LoCAT|oN: u idir:ss..qtTti} S. CJ4pan h|'. `Lln;+ 17c/fl . rfeiou` Blath , F-L 3Ut&i_ PropertyTaxlD#.. 45T -tp02:O -0' --I I LcitNo.S.lteplanName..ul/ftB)ockNo. projectName..in III DETAILED DESCRIPTION 0F WORK:\ . _ - - . ^ I . , '1 r\ L:k€ +Of Lik4 M4l L.rarzepz52AJ -:JJtisitzi/lt-i uq 3pT7On rx5an+ [thJJ3( LsiJw`(ct hacLfu jquwLi) ` Ll^ cu5', -iLJ;9 sTczf ar. r`1 New Electrical Meter Second Electrical Meter (Affidavit required) CONSTRUCTION INFORMATION: Additional 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: Costofconstruction:S c2f7ex3~ Utilities: Sewer _Septic BuildingHeight: OWNER/LESSEE: ,, ,CONTRACTOR: , Name Nn`JAr\rln HiohfroLuevF Name: KliJrr\ [A,7t` 15an Addres:.. P0 Pro+' ti`37¢company.. e-i`e4r lbLn`b`f I`v- city: r (J7rarndl<r state: J1 ^rdatess.. _flop) NE I)i¢;? I+fuifc;::..code. 3-a' -Fax.inZipcode:3i7ffi Fax: phoneNo.i;*7---b4l~5:ap85 E-Mail:prhilneNIf i m2 -`( oC12 -3 fi&D , Fill in fee simple Title Holder on next page ( if different E.-Malil r`rer)I b Oat ®C)rr\c2; /,4o-n` state or !ounty'iicense v,_#4 -vo.ij'3 7Z./from the Owner listed above) lf value of construction is 2500 or more, a RECORDED Notice of Commenccmcnt is required, lf value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. :;;-:`:?'`--.--.-'.-.,-.... `' ` ``*!RE%i ; £:m€: ffifr -Notrferwh!e • #m¥:enGEcOMPAvrfr _ NotAppijcab,e has oMAdores:Ciity,state: i Address: : city, state: i zip: phche[TEEslmpLETtTLEueLDER: __ Not App!jcabfe Zip : phone= B0Nf2I}re ,Cen*P*Al¥:. _ifet Appl ieab!eName:Address:aty:Name : i A£:less.' i Zip : Phche: ,i.i.I,., „ -."-.---'rJ zip: phon e: i OWNER/ .. en ` : A€i¥:iseason iiheefty m3i.certythatrounckorinstallatfonhascenmenedpriortotbei de to oifein a givit ta do the work and ir!Stallation as indicated`ssLianeeOfapermit. ¥u+:"t¥i€¥pc:gn:¥g¥#is¥fa%##¥deme¥irELREirEg%|t"i¥£*¥ife3#*gifehagBF#:rj##Ey%#prrbftusruech :::=n:#:rn=£Onrif¥h:=p"rti£SigESs,r=ue#ee#a¥ji±d*9ab¥nda§:#i:ti#£lern:g£.performtheunrk Thefollowingha]ifdingpemitarmlicato@saeexenptfromundeigr-ngafu!lconciLiqgieyrevico:rngT`a`dditioris, arccessorystrgivrfasvichngpBds,fengesus,saps,seneenroamsaed3€certy:LJsestoawherron+esidentia1qse fty*ft- to - "R E"iib co ftrsrm A Ifoma Or ccanencEiiE.iT only ]i=sur " yam p&yne`,.. Tap Far `.n~: T® vttR piaei¥i A .tin.cE er. enHHunmr iusr fH REconpED ArmpdsiD ed TIC -Oe simeI---..aRae " -.F.You prty Te OBmilf FbiAlicblc, corsiur •t+i ce.€ciiiiiEicE]qu.a OrmerSigr!aturet>ffroer/ STATE cM: FLrmDacouurSF Name of persori making statement. Personally Known i-OR Produced tdentrticaa±ca Type of lderttff}ed.ari Produced •Sig8ature Of todectarflkense Halter grATE OF FLORIescotrm or #affi:yi=s ackr`o`ndedeed.before me K_im {Ajilscin _ _ NameOfpersonJhakingstater!`ent, Personally Krot^m ±:_ OR.Pac}duced !dentifica{ion Type of Identification pndueed . i {SIgnatLlrS of *Ectary ptF5HTCL S±i€e of Fire.3({{sisFi5ha '.harry Pebrrs-give of.Fk;ridar ' crmmeslon a -I-ast#a!,EE=?`J..i::`.I-:.`.'i.-'`:.-?-`->!!., i c:mmi .grj.-:.--`?. r-*. .. ., -..-..- • ... -?.*esafts* i`. REVIEus ?`E]. .. ! :. =',i.< RvisoR PLANS V ryuq5F5K'. .GETATFOw `T _-. , .rl. - . . `±iiSEATURTLE--•,- .`MA GRoVE|COURER -REVIEW REVIEW REVIEW REVIEW REVIEW REVI EW 1 DATERECEIVED i IDATECC}MPLETED ie;N.2/7