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HomeMy WebLinkAboutBuilding Permit App for 5167 N Hwy A1A Apt 703All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 10/5/21 Permit Number: ' ° p Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial X Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 5167 N Hwy Al Apt 703 Property Tax ID #: 1411-709-0049-000-6 Site Plan Name: Project Name: DETAILED DESCRIPTION OF WORK: Like for like AC changeout 2.5 ton 14 seer 5 kw heat New Electrical Meter Second Electrical Meter I CONSTRUCTION INFORMATION: Lot No. Block No. 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: Cost of Construction: $ $3,300.00 Utilities: —Sewer _ Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Mary Mae Rude -Bell Name: Shyan Wojtczak Address: 5167 N Hwy Al Apt 703 Company: Cool Air Solutions of Florida, Inc. City: Fort Pierce, FL State: _ Zip Code: 34949 Fax: Phone No. 772-971-9537 Address: 7901 Santana Ave City: Fort Pierce State: FL Zip Code: 34951 Fax: 772-801-5398 Phone No 772-634-0491 E-Mail: mimibelll@yahoo.com Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E,Mail coolairsol@gmail.com State or County License CAC# 1819009 u lJ L7VV VI II IVIC, d nr%.VRUCU imouce oT Lommencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.