HomeMy WebLinkAboutPylant AC Change out permit app pg 1All APPUCA~ INF MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7 let 2J Permit Number: _______ _
\--; ------~
c..
-. r
Planning and Development Setvices
Building and Cnde Regulation Division
Building Permit Application
Residential __ / ___ _ Commercial ____ _
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: A. (!. C
PROPOSED tMPROVEMENT LOCATION:
Address: "7~05 ~ "Rd-1 6~ Pierce..
PropertyTaxlD#: _______________________ _ Lot No .. ___ _
Site Plan Name: _______________________ _ Block No. __ _
Project Name: ______________________________ _
I DETAILED DESCRIPTION Of WORK:
' I
New Electrical Meter ____ Second Electrical Meter _____ _
I CONSTRUCTION INFORMATION:
A ✓---~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: $ 53CJO · ()0 Utilities: _ Sewer _ Septic
OWNER/LESSEE: CONTRACTOR:
Name.....l..!.~=~;.....i:.~~u..........., _____ _
Address::_J_Y!Jl.~~~~~.IX-'~------
City: fo r-1;-Pc l rl .c State:A:..,,
ZipCode: 3'-¥{51 Fax:. ______ _
Phone No. '1JJ-~ 'jl ~ -q I 15
E-Mail: ______________ _
Fill in fee simple Title Holder on next page ( if different
from the OWner listed above)
If value of consttuction 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.
Building Height: ___ _