HomeMy WebLinkAboutpage 1- 8828 First Tee RdALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I P )LO -12 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
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 6LgzC3 r -s -"-1P&_
Legal Description:rPo D 3.3 AT 74E R&sEP_u 5- 7 44z} e -L
9A1� h ILL LCT7- S4
Property Tax 1D#: 3 334 -SOD -0 0(a 5 -Ori --c3 Lot No.
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Block No.
DETAILED DESCRIPTION OF WORK: III
I n s t o � UJc a,l 61eco His Cher h -e 4e -r'
I CONSTRUCTION INFORMATION: III
HVAC 1_JGas Tank
11 Electric Y19lumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 1 n n D 1
Piping
Sprinklers 11 Generator
SFt. of First Floor:
Utilities:� Sewer E]Septic
Windows/Doors
Roof = Roof pitch
Building Height:
0 W N ERAESSE E:
CONTRACTOR:
Name f� J
Add s:992li�3 �irsf Thr•_ kz7
SL
Name:
yiqh
Companyttl1,,,
Ad : � FQC. /7 /641
City: eS' -, h AeJ State: �
Zip Code:�49ei0 Fax:
Phone No.
E -Mail:
CityState:_Etrl
Zip Code: ?'45 Fax:
Phone No. 17OL-Ro2)g-)?✓3 /
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail:
State or County Ucense:
It value of construction is $2500 or more, a RECORDED Notice of Commencement is required.