HomeMy WebLinkAboutSuarez AC Change out permit app pg 1E INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number. --------
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) 462-1578 CBDG Funding ____ _
PERMIT APPLICATION FOR: A ~ Chan .... ()U;("'
Address:J.e.22!./LULJ....CU...-D..r-'t.L-O~L......---L.:\J.tlL...l~(~e_;:!...U(1:.:(~~~~~~~~~::__
PropertyTaxlD#: ______________________ _._....,'-'--
Site Plan Name:_________________________ Block No . __ _
Project Name: ________________________________ _
DETAILED DESCRIPTION OF WORK:
New Electrical Meter ____ Second Bectrical Meter ______ (Affidavit required)
I CONSTRUCTION 1NFORMATION:
Ad~nal work to be performed under this permit -check all that apply:
_Mechanical A/C _ Gas Tank _ Gas Piping _ Shutters Pond
Electric _Plumbing _ Sprinklers Generator
_ Windows/Doors
Roof ____ Pitch
Total Sq. Ft of Construction: ______ _ Sq. Ft. of First Floor: _________ _
Cost of Construction: $ J.±5o:i) . 00 Utilities: _ Sewer _ Septic Building Height: ___ _
Name: --C..k!lo<:i,..w:U4-._.L..,~~.u.,:. ______ _
Company: .,._.._.~""---'-....:..:..:...._._.11.L.1,;"'1...!l~UL.l"""+--------
City: f State: Address: 1Z
Zip Code:3 4451 fax:.....-~-----City: lt>d: Pi'tcr e.,,
Phone No.112...., 5?;g ~ ft(; (5() E-Zip Code: 3 LJC{5 ( Fax: _____ _
Mail: Phone No '112r J.k, I -J.f l .4 I
Fill in fee simple Tltle Holder on next page (if different E-Mail bru1/e ae-ee Y4 h@-cum
from the 0wner listed above) State or cot/nty license CACAil ,g 13 i,
H value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7 .,500 M more, a RECORDED Notice of Commencement is required.