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.
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