HomeMy WebLinkAboutCloutier AC Change out permit app pg 1 revAll APPLICABLE W#F0 MUST BE WINI LErED FOR APRICATION TO BE ACCEPTED
Date: ,7 .213 19-L Pemmlf Number:
LUTCUL-
l�p.�s2 p
r
•'.- Building Permit Application
Manning and DevebpmentServices
aujWmg oral Cade RegukMm aUian Commercial Residential
2300 Virginia Avenue, Fart Pipe FL 34982
Phone: (772) 462-M3 Fax: (772) 462-1579 CBDG Funding
Additjonal warlc to be performed under this permit - check all that apply:
Mechanical NC _ Gas Tank Gas Piping ^ Shutters WirKkwos/Daors _ _ Pond
Electric _ Plumbing Sprinklers _ _ Generator — Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 4500.00
Sq. Ft of First Floor.
UtiGt —Sevmr —Septic Building Height
Address:/ 5600 'Sr.U46t. Blvd. M. & 5
atv: J� pf.PtCL _ State: t�
Zip Code: 340t4f/ Fax:
Phone No. '77;L - - +-LA 14 3►4- E-
Mail:
Fin in fee slime Me Holder on next page (If dMerent
from the Owner Lsted above)
: IviVo fAIIMREi.*P!
..' t A . ..s
• 1 : MI �
City: I?k(m State:
Zip . ► Wft I Fax:
�••
ff value of consbut6w h 25W or more, a RECORDED Notice of Connnenommd is required.
!f value of HAVC Is $'7,500 or more, a RECORDED Notice of Conamncat is required.