HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ' `` ��yy
Date: Permit Number: 1t�A-0)9P
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Building Permit Applicatio
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772J 462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT TYPE:
PRCpED IM `EM,EN? +CATION
Address: olb �, �j 7 Sf
P operty Tax I'D#: �0 5-/O�-00,�� r�o O - Lot No.
Site Plan Name: Block No. 3
Project Name:
D.E., =1010
1�1
i
of
Additional work to be performed under this permit-check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
Electric Plumbing _Sprinklers _Generator _Roof Pitch
Ti tal Sq. Ft of Construction: Sq. Ft. of First Floor:
p u-o
Cost of Construction: $ Utilities: —Sewer —Septic Building He
O' N "R/LESSE . CO TRAC�1'Ott;
Name Name:
Address: go ^4 3?- STL Company:
City' 7!� v-e-e- Stater rAddress ;
-
:Zip Code: 3 S4f 5�7 Fax: �'�Gf i °' �.F4' State:
Phone No. 77A ���.^ 2-$� r Zfp Code
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E-Mail:- C/e.Nr9 GJrns !Z4(ae' ,eO Phone No
(Fill in fee simple Title Holder on next page(if different E-Mail
from the Owner listed above) State or County License
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.