HomeMy WebLinkAboutMartinez AC Change out permit app pg 1All APPUCAB INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: '% 3o 2..-( Permit Number: --------
Building Permit Application
Planning and Development SeTVices
Building and Code Regulation Division Commercial ____ _
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: (. :.f:;-
Property Tax ID#: 'tQ03-'2.l \-ooz...s ·'Ooo/s
Site Plan Name: -------------------------
Lot No .. ___ _
Block No. ---
Project Name: ________________________________ _
I DETAILED~~CRIPTION_ OF etORK: . .
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 Pond
Electric _Plumbing _ Sprinklers Generator
_ Windows/Doors
Roof ____ Pitch
Total Sq. Ft of Construction: ______ _
Cost of Construction: s L}(oOO. 00
OWNER/LESSEE:
Sq. Ft. of First Floor: _________ _
Utilities: _ Sewer _ Septic Building Height: ___ _
CONTRACTOR:
Name:
Company:~at' ~=Qi~~ ,k
Address: 5 A i"um •
C-rty: Wt Pitrce.. State: /:t.
ZipCode: ~I Fax:JJ:J.-tli,t,-3137
Phone No 11.k:Lj(, I• .I.I 14 I
E-Mail Poy{t.ru!. @, '-{MloQ• /1JJ(Y\
State or County license CAC 111 'lll'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.