HomeMy WebLinkAboutLake AC Change out permit app pg 1.pdfAll APPU:r: INFO MUST 8£ COMPl£TED FOR APPUCATION TO BE N.UPIED
Date: ~{_;>..:).., PermitNumber: ______ _
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r; Building Permit Application
Planning and Development Servires
Building and CDde Regulation Division Commercial ___ _ Residential
2300 V",rginia Awnue, Fort Pierce FL 34982
Phone: (7n) 462-1553 Fax: (772) 462-1578 CBDG Funding ___ _
PERMIT APPLICATION FOR: A (!..
PROPOSED
Address: / D O (o r-t ;
11-002-:s' ~oool 5 I
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fvt f1P
Lot No .. ___ _
Site Plan Name: _____________________ _ Block No. --
Project Name: ____________________________ _
I DflAIW>OESOUPltONOFWORK:
p«Jc. ,mi t w I w b.J ht a:t-
New Electrical Meter ___ Second Electrical Mete.-_____ (Affidavlt required)
I CONSTRUCTION 1Nf'-ORMA110t(:
Add~nal work to be performed under this permit -check all that apply:
-./_ '"Mechanical fr/C _ Gas Tank _ Gas Piping _ Shutters _ Windows/Ooors Pond
Electric _Plumbing _Sprinklers Generator Roof ----Pitch
Total Sq. Ft of Construction: ______ _ Sq. Ft. of First floor: ________ _
Cost of Construction: $ LF./ 0 0 . 0 0 Utilities: _ Sewer _ Septic Building Height: __ _
CONTRACTOR:.
If value of construction is 2500 or mon,, a RECORDED Notice of COnamencement is reqllftd.
If value of HAVC Is $7,500 or mare, a RECORDEO Notlte of Cont.neDCetlient is required.
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