HomeMy WebLinkAboutCusimano AC Change out permit app pg 1 All APPUCABLE INFO lI%W BE 0D 11PLET'IED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number_
LutL_ ;
Building Permit Application
Planning and DevekVnent Services
Building and Code Regulation Division Commercial Residential
23W Virykiia Avenue,Port Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 CBQG Funding
PERMIT APPLICATION FOR: �, d
PROPOSED.IMPROVEN"T LOCATION:
Address: ` 3LP5 f
Property Tax ID#: Lot No.
Site Plan Name: Block No.
Project Narm.
DETAILED DESCFUMON OF WOi :
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Jni k),qh Lo k J
New Electrical Meter Second Electrical Meter (Affidavit required)
eONMUCTM.W RWTION:
Additjdnal work to be performed under this permit-check all that apply:
_Mechanical NC, —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:$ - _ utiRties: -Sewer —Septic Building Height:
4D%A4WRf if5SU.: CONTRACTM
Itame Name: MOW
Address: J 0 'ns u Mofte, Comps ti
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city: 66 �ofa State: Address � '
4q Zip Code: 3 l Fax: Gitv:- PI State:
Phone No.1-1 2 to 2- -ldhl E- Zip Code: ) Fax:
Mail: Phone `7'� - e l� i
Rif in fee simple True Holder as next page(if different E-Mail 8 . IYh
from the Owner Tilted above) State orCou ty License c ��[���(T�
if v slue of coffin is 25W or more,a RECDRDED Notice of Commenceawnt is roguW.
tf+slue of HALVC is$7,NW or mWu,a WCORDED Notce of cannnencement 4 required.