HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /
Date: Permit Number: c S 7
Building Permit Applicatio MAY 2 012020
Planning and Development Services Pt:.;';1.'N
Building and Code Regulation Division Commercial Resi':dential rel
2300 Virginia Avenue,Fort Pierce FL 34982 �� --�_���_
Phone: (772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:
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Property Tax ID#: 4-5 Lot No.
Site Plan Name: Block No.
Project Name:
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New electrical Meter Second Electrical Meter
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Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond
Electric _Plumbing Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
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Cost of Construction:$ U LD Utilities: —Sewer —Septic Building Height:
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Name nn oc� n -1ci Name:
Company: -
City: State-: 'Address:
Zip Code: -3LfgL11 Fax: City:: State:
Phone No. Sal �27/— 1,5-6 4, Zip Code: Fax:
E-Mail: eruv) 111'n ,11a Cm6Li , Czn \ Phone No
Fill in fee simple Title Holde 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.
If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Applicatioi
Planning and Development Services
Building and Code Regulation Division Commercial cial Res
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772)462-1578
L L PERMIT APPLICATION FOR:
Address: -)-r>l U D IV, �'r" Dale 17r( -Le
Property Tax ID#: I�1 b �i)^ i��'�1v Lot No._
Site Plan Name: Block No.
Project Name:
New electrical Meter Second Electrical Meter.
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
Total Sq. Ft of Construction: ��� - Sq. Ft. of First Floor:
Cost of Construction: $ U Utilities: —Sewer _Septic
City: /=f %li re State: L�
Zip Code: Fax:
Phone No. (6-61) /•5 �. �
E -Mail: /eronic4 (/inG')Aa 011qctl I,Ce42
Fill in fee simple Title Holde on next page ( if different
from the Owner listed above)
Name:
Company:
Building Height:
City: _
Zip Code: Fax:
Phone No
E -Mail
State or County License
f value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
Pond
Pitch
State:_