HomeMy WebLinkAboutUntitledAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date; �r •:'�'''
�'� � �=- Permit Number:
Building Permit Application
Planning and Deverap enr Services
Building and Cade Re ulation Oivrsian GOCI1IYIeI'CI�'" Residential
2300 Virginia Avenue Fort Pierce FL 34582
Phone: (772) 462-1 53 Fax: (772) 462-3578
PERM IT APPLIC�►TiC3N FOR:--7ro s5cs i
Address: V-2—vi
Property Tax ID #: J Y j/
Site Plan Name: _3�1 3 4' *D I'c'-C. 11 �rAz- 64- =24L -'S7- 0 c I✓
Project Name; .a- 5-- 14, Z4-.
Lot No.
Block No.
Address: `1 I
City:
Zip Coded 7 q
Phone No. -7 7
E -Mail:
Fill in fee simple'
from the Owner
State: E_�-'
Holder on next {gage ( if different
I above)
Name:
Company:CI,►� �, c;7�3 t�
Address -Zi }fl
City:$tater
Zip Code "'s Z Fax:
Phone No 77 1 2— 3 — G'J ci'/
E -Mail �k0 a vii 6 �1, Cil
State or County License Iii '7 I j9_%f
If value of constructiIn is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $71500 or more, a RECORDED Notice of Commencement is required.