HomeMy WebLinkAboutWeber AC Change out permit app pg 1 All APPLI BLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Os 1 Permit Number:
D J , x
- 7: x tl Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)452-1578
PERMIT APPLICATION FOR: C _� -
PRQPOSEa IMPRQVEMENT, . ATION:
l ,r:i
Address: 11 Lu 1-G 1 Lge,
Property Tax ID#: Lot No.
Site Plan Name: Block No.
Project Name:
I ETAII E DESCRIPTION OF.WORK:
New Electrical Meter Second Electrical Meter
CONSTRUMON INFORMATION
T .
Addi onal 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:I: Sq. Ft. of First Floor:
Cost of Construction:$ �11r 4�- �� Utilities: —Sewer —Septic Building Height:
OIERFI : CONTRACTOR:
Namewdio, Z,bu Name: `
Addr , srI, ( V Company: ('
City: 1 t c- Stater Address:
Zip Code: 3LA5 Fax: City: k& pit rC! State: �-
Phone No. 11•3Sq- 6 0 3 � la-
Zip Code: 5I Fax: . 37 3
E-Mail: Phone No-112,--%I- u 141
Fitt in fee simple Title Holder on next page(if different E-Mais! 0-6L e'vAboa.JQQ jn
from the Owner listed above) State or County License SAC 111'91'8(P
Li�T_v_olue_of construction is 2500 or more,a RECORDED Notice of Commencement is required.
of HAVC is$7,s00 or more,a RECORDED Notice of Commencement is required.