HomeMy WebLinkAbout9108 One Putt Page 1All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED of
Date: - a T Of Permit Number:
•
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772)462-1578
PERMIT TYPE:
PROPOSED IMPROVEME
Building Permit Application
Commercial Residential
Address: L-11 V n 1A II(/�]L :ff— (�l['�' � I
Property Tax ID R: -3 3)m — S� Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
_Mechanical
_ Electric
�s Tank
_ Plumbing
Total Sq. Ft of Construction: �1
Cost of Construction: $
_ Gas Piping
_ Sprinklers
_ Shutters
Generator
Sq. Ft. of First Floor:
Windows/Doors
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWN ER/L SSI EE:
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CONTRA R:
Name
Name: '
Addr
Compa n
City. State(Al
Zip Code: i' Z Fax:
Phone No.
A res
City: � 1 State:
Zip ode: F X.
Phone No L ' Z
E -Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
If value of rnnetrurti..� i� d,cnn ,.. ........ _
E -Mail
State or County License
------ - ••• .. nvuw v, wrnrnencemenr is requires.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.