HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:. S1Co Permit Number: ���''lll��� ,
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 1/
PERMIT TYPE:
P � •Sib IMP C?�VE E •t3CA I�JNt
Address: 4, .S66,) - //�Vr �18— br
Property Tax lD#: 3q02- 66q- @IZ<--dpd •_ 1 Lot No. 1
Site Plan Name: Block No. S�
Pe i oject Name k
D ID DES«R `TIUN V1l{3RK:
'I e-e- /A Y2 64nacP. h nr W AW- SrZQ
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I�o�-s �. c-rlcaN IN�oRMA� �nr.
Additional work to be performed under this permit-check all that apply:
l P P
_Mechanical _Gas Tank —Gas Piping _Shutters _Windows/Doors
Electric' _Plumbing _Sprinklers _Generator _Roof Pitch
Total tal Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 11m Utilities: _Sewer _Septic Building Height:
o r�R/�E�ss conlTR� S,R.
Name t i SA FI Lorj(3e) Name: A-7eck 6e ro,% Jaw,-,
Address: 64O /At4r Company:
City: F4 Aear State:_ Address: U&&y�-Mctj-N M&Ce_jj X/uej
Zip Code: 3114E_2 Fax: Cityc=__�S("= -- -- State: /r'L
;wnI a I" �
Phone No. Zlp Fax:
E-Mail: , �? itl; Phone No` `?7a,1^K -4 'Sr�f'22t:
,•; :�.( 11.E 1 .:; i -; �" , �'. s - .._.-...,,
Fill in fee simple Title,Holder on next!page(if;different E-Mail ""
from the Owner listed above) State or County License a 36s
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.