HomeMy WebLinkAboutREED PERMIT applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: (.._o�a:0-0 Permit Number:
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11
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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:
PROPOSED IMPROVEMENT LOCATION:
Address: K\a�Ab r`�L l
Property Tax ID #; Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
1 4-
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: 00
Cost of Construction: $ l '�J---T"
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic
Building Height:
OWNER/LESSEE ,1-'- y
CONTRACTOR:
Name 'iELh —`-U NLE 2-1 H
Name: '1y\11CS
Address: PO 60y, IS5
Company: \tL`C� ieC�YlCct� (Cyl1�cC�L�C`t S_
City: FL 211 Q cQ ! State: (_L
Address: \C�\C� � � 1�O�a�l
E-' S
Zip Code: ��� r� Fax:
City: -1 . I�� C`�
State:F
Phone No.
Zip Code: Fax:
'-\ c \-ACAS
E-Mail:
Phone No off- c�D7
E-Mail 1 cAl i la L aO.
010M
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License
If value of construction is 5Z50u or more, a KtLUKUtU NOTI[e OT u i eyun cu.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
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