HomeMy WebLinkAboutBuilding Permit Application - Page 1All APPLICABLE INFO UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 //1 Permit Number:
�y l �•�L l :L' 1• {' r:
7f y r •
U
Building Permit Application
Panning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462w1553 Fax: (772) 462-157$
PERMIT APPLICATION FOR:
Commercial
CBDG Funding
PROPOSED IMPROVEMENT LOCATION:
Address: 9490 S OCEAN DR 20
Property Tax ID #: 3535-701-0008-000-0
Site Plan Name:
Project Name:
DETAILED DESCRIPTION -OF WORK_
HVAC CHANGE OUT RUUD 2 TON 15 SEER 7 KW
Residential x
New Electrical Meter Second Electrical Meer (Affidavit required)
CONSTRUCTION INFORMATION...:...,...''.,.,
Additional work to
be performed under
This permit— check
all that apply:
Mechanical
_Gas Tank
� Gas Piping
_Shutters
Electric
Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ $5025.00
O WN ERJLESSEE:
Name Daniel J Derosso
_ Sprinklers
Generator
Windows/Doors
Roof
Lot No.
Block No.
Sq. Ft. of First Fir}
Utilities: Sewer � Septic Building Height
Address: 9490 S OCF-AN DR cos
City: Jensen Beach State: FL
Zip Code: 34957 fax:
Phone No. _ _ (631) 785-951 7 .. ----.— E-
Mail: Dderosso(a-).qrnai1.corn
Fill 'in tee simple Tithe Holder on next page (-If different
from the Owner listed above)
CONTRACTOR: -
Pond
Pitch
Name: MICHAEL CUSA
Company: COOLING USA LLC.
Address: 1049 SW JACQUELiNE AVE
city: PART ST LUCK State: FL
Zip Code: 34953 Fax:
Phone No 772-336-3883
E-Maid COOLINGUSA@ATT.NET
Sate or County license STATE/CAC1817020
If value
of
construction i
500 or more, a RECORDED Notice of Commencement is required.
If value
of
HAVC is $7,500
or more., a RECORDED Notice of Commencement is required.