HomeMy WebLinkAboutBuilding Permit Application Dec 111503:50p Jack Frost A/C of8oFla 772-336-0032 p.2
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED '
ate: Permit Number:
RECEIVED
Building Permit Application DEC 10 2015
Planning and Development Services PER.MITTING
80ding and Code Regulation Division u--unty, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential XXX
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: Z15 8 'ealzrjIve
PropertyTaxlD#: Lot No. 3
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DESCRIPTION OF WORK:
Replace a/c equipment, like for like 7_,-c_7,n e- .3.6 *n /Y,!S SEER &//Ogu) heaJer
CONS RUCTION INFORMATION:
Additional work to be no med this permit—check all that apply:
HVAC DGas Tank Das Piping Shutters Windows/Doors
Electric F]Plumbing OSprinklers Generator Roof
Total Sq. Ft of Construction- SQ.Ft.of First Floor:
Cost of Construction: Utilities:1]Sewer 1�jSeptic Building Height:
OWNERAESSEE: CONTRACTOR:
Address: .3?0 do 4-,r u, //;it lr�ve Company: Jack Frost AC of South Florida,Inc.
City: h-hn State:/
Alorib h;,2 Address: 1716 SW Biltmore St.
Zip Code:- 02 7e4- Fax. CitV.-— Port St.Lucie State: FL
Phone No.
Zip Code: 34984 Fax: (772)336-9032
E-Mail: Phone No, (772)336-9030
Fill in fee simple Title Holder on next page I if different E-Mail: jacktostfforida@act.com
from the Owner listed above) State or County License: StateCAC1815725 1 Go.25113
If value of construction is$2SOD or more,a RECORDED Notice of Commencement is required.
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Dec 111503:58p Jack Frost A/C ofSoFla 772-338'9032 P.3