HomeMy WebLinkAboutBuilding Permit Application , updated to show -MAIN HOUSE All APPLICABLE INFO MUST BE,COMPLETED OR APPLICAT ON TO BE ACCEPTED .
Date: Permit Number:(
NRECEIVED
JAN 2 310H
Bufing Permit Application
— Permitting Department
Planning and Development Services st lode unty
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982.
Phone:.(772)462-1553 Fax:(772)452-1578 Commercial Residential
PERMITTYPE: Ooh ivt
i R�1PtJSED ISM R,WUE��tttE,N�10Ld,,T� IN
i23S Cess �. -'TCrr
I Address:
Property Tax ID#: `22 `7 " 7 O t -0045-- 6 oof 15, Lot No. !
Site Plan Name: Block No. 'i
Project Name:
QTILD DE�SIPiTlO ®F
tAii� Clue, 12e(,6* i :71 vt ojQ !n (� 'S �•�r `"�
e+- t Fl i OZ o
1ILP 0 Ki( , - Tr > �( rn�Tl� T SA--
CON�STRU � Ia MAW"& .
,I 'II
Additional work to be performed under this permit-check all that apply:
Mechanical _Gas Tank `Gas Piping `ShuttersWindows/Doors
_ m_ bin S rinklers Generator Roof Pitch
_ Electric Plu g _ p _ u
Total Sq. Ft of Construction. LD Sq. Ft.of First Floor: Vl C}i✓
14
Cost of Construction:$ Utilities: �.Sewer _Septic Building Height: t I
Name, Name:
Address: 1 a Company:
City:<t 1 e e&-%- C State:jtj Address: :7 S-20 �"(-��� J+'1-1 �
Zip Code: Fax: City: Il C� C V State: i
Phone No. Zip Code: . k 99( U Fax: _Q6— 616
E-Mail: Phone No — --5Zc7 C�7
Fill in fee simple Title Holder on next page(if different E-Mail !z&-ek&e P' m nzr
from the Owner listed above) State or County License CCC-
if
CSif 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.
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