HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �1
Date: Permit Numb:tiloin
F!MBuilding Permit Applic AY 1 9 2020
Planning Pen-1,;
Development Services - ..
Building and Code Regulation Division y
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2300 Virginia Avenue,Fort Pierce FL 34982
FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential--�� -�-�-���—n—
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PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION: . =
Address: t p Nt`�- 1 F�. 99 1
Property Tax ID#:_1.Z✓% ��-. C`i 9 9 (�fjl�– 2- Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK
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CONSTRUCTION.INFORMATI,ON: F F
Additional work to be performed under this permit–check all that apply:
XMechanical _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:$ )®b Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR: �4vz.�
Name tom. Name:
Address.C%2 i lP)e.r e� Lam. H,'zi-t✓ Company:
City: State: Address:
Zip Code: 13 y 9 S 1 Fax: City: State:
Phone No.__ Zip Code: Fax:
E-Mail: (c.9 Phone No
Fill in fee simple Title Holder on next page( if different E-Mail
from the Owner listed above) State or County License
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
11 value,of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEIVIENTAL'CONSTRUCTIO"N"LIEN LAW INFORMATION
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DESIGN ER•/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: rn 04- G, 4, G. Name:
Address: 3' PA_c—a r' Address:
City: Pl',P c-cam State: —L City: State:
Zip:�2 c(q S'1 Phone A)r-;