HomeMy WebLinkAboutZayas Permit App 1All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
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 IMPROVEMENT LOCATION:
Building Permit Application
Commercial Residential
Address: IC)(0") ,� 00F7PN fy &)C � �-1\l�L`-1�l E7 /-/ R ; s9 cfs-7
Property Tax ID #: _HSI 1 - sn - 001 9 - Ou( - '-)_ Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
LI K - L-Ok LIKE 1-2 I C C/16NHE CUT / 2 7DN IS 36EX S i,i�
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit - check all that apply:
'Monechanical _ 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: $ oa'). dw Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Namerlf�J,tiri I�) �fw�i�✓�u✓�c,ly l�uL-��,lt,1X
Address: ►0a) S C C-04 l T:2. l)N IT 9Q,
City:7rNsL--N Sege/4 State: EL
Zip Code: 3'{q5% Fax:
Phone No. D96 -930- 0)33
Name: ✓i - tr -�'
Company: C,C'YX_�tiIF, i� 1SC S
Address: i69� ISL D?, RAC 7a
City: k_kk_'V t-bLM SOT-H_ _ _ State: Ft
Zip Code: 33gQq Fax:
Phone No - L?H-1- q I $Q_
E-Mail 3L-KVIC- (2 CQQL INC1tqDUISQeS. QM
E-MailAZ1 NE) IE I I Ca. GIMa/t
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License CAC, IRl Wow -
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.