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HomeMy WebLinkAboutCOMMERICAL RENOVAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 4� I`�oOLI ��I"I, O p Permit Number: Building Permit Application Planning and Development Services , / Building and Code Regulation Division Commercial V Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Address: r 7 s �[� ;��—eve, Property Tax ID #: `l 50 Q )--- On - D OM Site Plan Name: Project Name: Wi DETAILED DESCRIPTION OF WORK: 9'Vt 1'. !i.) o7h-- i New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit —check all that apply: Mechanical _ Gas Tank —Gas Piping Electric i/iumbing _ Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ .-r000 o o OWNERAESSEE: Name 1' 14 e Lot No. Block No. Shutters ` Windows/Doors Pond Generator _ Roof Pitch Sq. Ft. of First Floor: Utilities: _ Sewer __.. Septic Address:??60S � y� �F 6 bL�k City: -2�cvmoyl, F Stater Zip Code: Fax: Phone No.' DJLJJOL Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONTRACTOR: Name: (J ea:, l I In; Building Height: Company: Ca 15 Gt7vit, L L C Address: R z 5f V i"Yo- � City: 3 FCZQ'�-t ,., Stater Zip Code: Fax: Phone No b Y 1� E-MaiICC�p MS L1CLCJi0V LC 0� i jA C4 tti! State or County License C 8 C ®^Sl � a 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.