HomeMy WebLinkAboutPerez AC Change out permit app pg 1All~ INFO MUST BE COMPlfTED FOR APPLICATION TO BE ACCEPTED
Date: 10 .ij j Z./ Permit Number:
.
~'r. LJJJ.:'.tG -,~ . .. . ·. ' qj~,~~-[:' E'"''· .,_. ,, • ,,.-· .,, Gi.. --...,,,...,-.• Building Permit Application
Planning and Development Services ✓ Building and Code Regulatian Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: Al~ thM7~ -0,t,b
PROPOSED IMPROVEMENT LOCATION: ~
Address: 31D 1),d; Sat) br.
I
i::'o,i Piuce, 34't'K~
Property Tax ID#: lot No.
Site Plan Name: Block No.
Project Name:
I DETAILED DESCRIPTION OF WORK: I UkLnir Lil<L: ~Wl e!-5 :blri A-lli,d L~S~ A~ .s54st.em
with 1.,; kw \-\Liu; . 7
New Electrical Meter Second Electrical Meter (Affidavit required)
I CONSTRUCTION INFORMATION: I
Ad~I work to~ performed under this permit-check all that apply:
_Mechanical ~-GasTank _GasPiping _Shutters _ Windows/Doors Pond -
-Electric _Plumbing _ Sprinklers -Generator -Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ i.{i,.oO .OCl Utilities: -Sewer _Septic Building Height
OWNER/LESSEE: CONlRACTOR:
Name LIJza(a., 1-'Ue..-Z. PIIVWt,z. Name • .' : M1tntuL. f; Boyle,,
~/0 Dk~OI'\ i)r. -
Address: Company:_Bo~/o. AtY CaYl().th'minJ
City: fir:t, Pft.rCl, State: -Address: 510 A rW(lpi kf f::{L..fd::. ijJ..
Zip Code: J~9'i,..,, Fax: City: ~<i-Pl~ru... State: Ft,
Phone No. E· Zip Code: 31/11-:s I Fax: •
Mail: PhoneNo 11~--4!,(-J./iul
Fill in fee simple Title Holder on next page (if different E-Mail bQ¥1Laee, '-::{.UvlV, CtfY'(\,
from the OWner listed above) State or County License (!..Af f i I J / g I,
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 Co1111nencement Is required.