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HomeMy WebLinkAboutBuilding Permit Application 12/09/2016 09:03 7724612036 STEVE SMITH AC PAGE 02/03 ALL AppLW tE INFO MUST BE COMPLETED FOR APPUCATION TO BE ACCEPTED Date- Permit Number: /to l RE ., Building Perrot Application Planning and development Services DEC ®9 2016 Building and Code Regulation Division 2300 Virginia Avenue,Fart Pierce Ft 34982 Phone:(772)462-1553 Fax:(772)462-1578 commercial Residential PERMIT APPLICATION FOR: To Select fiom dropbox, click arrow at the and of line Address: Legal Description_ /����' �_ %/,�/ .�T r �f��� ,���✓ /i�'t/ G/r/ �� Property Tax ID#: � Z---��/ rf - f/ "� Lot No. Y Site Pian Name: Block No. Project Mame: setbacks Front Back: Right Side: Left Side: G//i/S'r Thi �+i��i-- ✓�� �•�r�a,��d�ir� y r / ,fir i ,f �/��m rG/! ��/an /y���� �r✓�.��y Cr-®/ ,G/i�� ��//!.� C'�C /ice ���/ A00ttlotM IrK W frormedunder IfiTs OrMit-z-c—MCk Sit a y: HVAC Cas Tank [:]Gas Piping Shutters Windows/Doors ClElectric Plumbing �Spripkfers 1 Generator 0Roof Total Sq,Ft of Coristructian: /,711 S . Ft.of First Floor; Cost of Construction:$_-_._ � ... .. Utilitlest Sewer Septic Building Height. Name /a Name: Steve Smith Address: Company:Steve Smith Air Conditwft City: fie: Address: 8061 Eden Rd Zip Cade:/„�l-ZS 0 , Fax:- ----___-.-_ -. - City: Fort Pieree g ;Ft. Phone No._ - -- _ Zip Cade: 34951 Fax: 772 461-2036 E-Mail: Phone No. 772 461-1426 Fill in fam simple Tide Holier on next page j if different E-Mail: stevesmthaceaoi.com from the ower Road above) State or County Ucense: CACI 813454/26071 n value of consavctien Is S25W or mare,a KWORDED Notlev of Commemmne+it is rmpb ed. 12/09/2016 09:03 7724612036 STEVE SMITH #C PAGE 03/03