HomeMy WebLinkAboutbuilding permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
J,`q-„
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: 1 cM(2C' C C,,C S erv� c e
PROPOSED IMPROVEMENT LOCATION:
Address: _�-t 3 5 14Cc,0,t-e c' 0-1 t F?e1
Property Tax ID #: 32oz s C>�j CS C; C� (�, UUC) (,, Lot No.(0
Site Plan Name: HQCC rA10 Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
em Qrz'r'!-Ar\4 l? 5eiVl6e
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
Mechanical
Electric
Gas Tank
Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $
Gas Piping _ Shutters _ Windows/Doors _ Pond
Sprinklers _ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name/\41'GhcAe 1 I�yann
Address: LI��S S Rtc�deC Ccinci t r2d •
City: %Gr-f F �'PCr e Stater
Zip Code: Fax:
Phone No.
Name: 45einkftiEK, W:'1I6am
Collis
Company: C.oA(1 +'s L � 'r
Ccn�i�-l�'c
Address: 5(,,-) l,t,'c,4e-cwcxv
Cn
City: (7or4 Sra I've + LAC "e
Zip Code:Fax:
Phone No 7� Z 3 `20 (d [act �`
State: (-L
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail
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.