HomeMy WebLinkAboutCeraso AC Change out permit app pg 1All APPUCAilJ HifFO MUST BE COMPLETED FOR APPLICATION TO BE /.\CCEP I Eu
Date: 9 nJZ-1 PermitNumber: _______ _
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772} 462-1578
PERMIT APPLICATION FOR:
Commercial ____ _
PROPOSED IMPROVEMENT LOCATION:
Property Tax ID#: _______________________ _ Lot No. ___ _
Site Plan Name: _______________________ _ Block No. ---
Project Name: ______________________________ _
I DETAILED OESCRI~ OF WORK:
Ulci Ri Llki:s~ll new ~WLD i+ -too . tl-l-s6&e,
New Electrical Meter ____ Second Electrical Meter _____ _
I CONSTRUCTION INFORMATION:
Ao/.~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 7 ______ _ Sq. Ft. of First Floor: ________ _
Cost of Construction: $ --=5c,-, ,,_@tJ><-=-'--' 60=.c.... __ _ Utilities: Sewer _ Septic I
OWNER/LESSEE:
Name 'i< "<:n ll'lfLdl. (' U-(J...S O
Address: u-!J:J/t,de. Vi SW-,
City: OO'Jll[(L_ State:_
Zip Code: .5 Ll45J Fax:
Phone No. ~31-i'.l-1-5~11 _____ _
E-Mail:. ______________ _
Fill in fee simple Tn:le Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
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.
Building Height: ___ _