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HomeMy WebLinkAboutTurner pg 1 Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: _ _JL__ `7' A f Permit Number: 4 - ' �- 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 TYPE: 4 ! �f C 14Al\)6E - 0&rr j PROPOSED IMPROVEMENT LOCATION: Address: t % rQ l', PM 1V b � ` JEL Ric) Property Tax ID #: Site Plan Name: Project Name: '_ 12 JQE � X Lot No. Block No. 1 DETAILED DESCRIPTION OF WORK: I lo._ 2 j Vv Pa Pam' CONSTRUCTION INFORMATION: 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 Total Sq. Ft of Construction: © Sq. Ft. of First Floor: Cost of Construction: $ _ .. I bU Utilities: Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: NameEdjj2, r-� --Q!e_rr)er- Name: '±hor-r)a_S N "Sc� Address: 173 G`C�-ti;ne be) i?i'o Company: P:nu.r' Address:_ <p ; Leinds irr-�vr1C 'P I Ig 7�> City: Dr+t.UU _ State: FL Zip Code: Fax: Phone No. 7 -7a- - (- 5 City: �l UGC' Zip Code: ,,kf6i55 PhoneNa Fax: State -,.FL E-Mail:_ none Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail F�i,� t-1h� i ; U,f � � C ��c�i��c� . C..�v�► Stat or County License 04n O S s9 ) I (0 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.