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HomeMy WebLinkAboutPermit App - RodriguezALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x PERMIT APPLICATION FOR: Roof a PROPOSED IMPROVEMENT LOCATION: Address: _79.1.9 MEAOr-�W LA✓LIQ l_() • Po�_,T S T , FL -3 y 9S_ 2 - Legal Description: THE PRESERVE AT SAVANNA CLUB - BLK 50 LOT 5 (OR 3426-2854) Property Tax ID #: 3425-706-0195-000-4 Lot No.5 Site Plan Name: Block No. 50 Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: TEAR OFF EXISTING ROOF ON MOBILE HOME AND REPLACE WITH 30 YEAR ARCHITECTURAL SHINGLES. CONSTRUCTION INFORMATION HVAC Gas Tank 11 Electric 0 Plumbing Total Sq. Ft of Construction: 1615 Cost of Construction: $ 7,750.00 s permit — check a appy: Gas Piping _ Shutters ]Sprinklers Generator Sq. Ft. of First Floor: _ Utilities: Sewer F]Septic Windows/Doors Roof 2 Roof pitch Building Height: OWNERAESSEE: CONTRACTOR: Name Mov-\seCr fi �e Zi�, � c ACL Name: dor �� LvyT —, A Address: '2b I � N\ ua dog k A,,Q-A,-'jLn Company: TREASURE COAST CONCEPTS INC. City: ?bvz\ ST L�-kc_,' u_ State: FL Address: 3 y 5� .Syu, OLLL 1kn a City: �'D iZ\ ST l -Lt < < E State: FL Zip Code: 34952 Fax: Phone No. 772-353-5678 Zip Code: 34953 Fax: 772-905-4910 Phone No. 772-777-8130 E -Mail: tcconcepts@aol.com E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) State or County License: CCC1330362 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.