HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ql b1,90 Permit Number:
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: k- LEC; -Te i L /-A
PROPOSED IMPROVEMENT LOCATION:
Address: i i ' &' .- L /-}C L LX2
Property Tax ID#: l,jl - f-O(j'J�-U�J-c) Lot No. (/
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
1'a'oe1 LI ii)(JI, 'Xt4tyll)
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: $ 1 SCO.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name IY
Name: >Jamie s E . HocitkJ&
Address: S) - Eocile
Company: H 6id L, I (S 1' k v
//
City: F7. ISI 4f ecQ_,State: EL.
Address:1010 PicluX�V
Zip Code: 3H 5 Fax:
IOW
City: FL. PIeIiCe State: E ,
Phone No. 1`�a--I��-II �,�
Zip Code: 3ZfC181 Fax:
E -Mail:
Phone No 7.72-
Fill in fee simple Title Holder on next page ( if different
E -Mail 11aYY1 o --)(lock IG C( 0
from the Owner listed above)
State or County License (o
" vaiue v1 wnsiructton is >c.)vv or more, a KtLUKutD Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.