HomeMy WebLinkAboutDraime Permit InfoAII APPLICABLE INFO MUST BE COMPTETED FOR APPLICATION TO BE ACCEPTED
Date:Permit Number:
Building Permit Application
Plonning and Development Services
Building ond Code Regulotion Division
2j00 Virginia Avenue, Fort Pierce FL 34982
Phone: (7721 462-1553 Fax: (7721 462-7578 Commercial Residential
PERMIT TYPE: q_15-Cp6LLCA1_
PROPOSED IMPROVEMENT LOCATION :
Address: 335. SE fRrqr.Jet_tt cn AVE-.
propertyraxrD x, 34\1-53D- OB1- Aof Z tot ruo. I
Site Plan Name:Block No. 31
Project Name:T)B+ru.G.
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION I N FORMATION :
Additional work to be performed under this permit - check all that apply:
_Mechanical
y' Electric
_ Gas Tank
_ Plumbing
_ Gas Piping
_ Sprinl<lers
_ Shutters
_ Generator
_ Windows/Doors
_ Roof _ Pitch
Total Sq. Ft of Construction:Sq. Ft. of First Floor:
Cost of Construction , S (flO , @ Utilities:
-
Sewer -
Septic Building Height:
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
lf value of HVAC is S7,5OO or more, a RECORDED Notice of Commencement is required.
CONTRACTOR:
Name: SA!q€.< 6 . TlutLe'[L-
company: BAbDl) EU=(rZlC, ( nJ c .
naaress: {2D O>.L 868
city: HC{3L s0. rLJD, state:F/
Zipcode: K*15 'FaxM
state or County ticense v- lAoDlz1l
OWNER/LESSEE:
nooress: 35 5€. TTa*i.)Q,tr rrA &vr;
city: POG.-f Si- . u-t t a g State: FL
Zip Code: 3t41%3 rax
Phone No
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
SUPPLEMENTALC0NSTRUCTIoNLIENLAWINF0RMATI0N:
MORTGAGE COMPANY:"/ Not Applicable
Zip:
-Phone:
@;.ru0t
7ia. Phone
COMPANY: -:/ruot APPlicable
7in. Phone:L' r.
FEf SlfVf pff TTTLE HOLDER: ',' Not Applicable
l$r'fir?tJr|'-''^ rt t q,z-rJ
The foreoins instruryIgnt was acknowledged before me
,n:utD-v&* 6 F-E;?.Q,uanA(, zo ljuv
fritt,aS A. n,tCllrgu
-Name of Person making statement'
Personally Xno*n /oR Produced ldentification
Type of ldentification
1S-8".tr.,r*-f N"trry P,rblic-6tate of Florida )
ontractor as Agent for Owner
STATE OF FLORIDA
Loururv oF "J.1 . \r-:c t e
The forsoing instrument was acknowledged before me
trris .ffloav or tr?rn:r"^ 3 ,zoE bY
F" i ., Ko V, \\e of,*
ffiilf p.rto. *.1{^C statem}nt'
-/'
Personally Known V OR Produced ldentification
Type of ldentification
llltl trtt
City:
Zip:
-Phone:
Commission No.
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