HomeMy WebLinkAboutwh st lucie 1.13.20All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
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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 Number:
Building Permit Application
PERMITTYPE:
PROPOSED IMPROVEMENT LOCATION:
Commercial Residential L/
Address: iG(Z'3 W`7A� `u cC k\ .
Property Tax 1D ##: 319pt cz) -G%oa I —oyQ-2 Lot No. i Z
Site Plan Name:
Project Name:
Block No.
I DETAILED DESCRIPTION OF WORK: I
N
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
Electric v'Plumbing —Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ i�JO
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name _?i"t�1rti• C
#+L° ; �I'
Name: -)C;JC " i,YTQ :✓
Address: 10J2�j 1�i1LA (AU al D2-
Company: ;FUZZ6J -�ACr
City: State:-
Zip Code: ��'1 � Fax:
Phone No. , l ;e,- 46k" VqK;
Address:i24 K)Q,0�'�Y T�vr2+
City: �k)zk- S4Lt)(.1'e' State: FL —
Zip Code: 3Yil9i Fax:
Phone No " 7-7.2`777 001V
1 E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail et4&-eAAk'Yx e tjaVir q ccwn
State or County License i q 08
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.