HomeMy WebLinkAboutPermit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ( Ci 1 Z0 Permit Number:
LUC
Building Permit Application
Planning and Development Services /
Building and Code Regulation Division Commercial Residentialy
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Garogc Apr
PROPOSED IMPROVEMENT LOCATION: _
Address: Sy03 Palm Dr,
Property Tax ID #:
Site Plan Name: are 9 kv'Cr^ EsT OT Cc-, -UY)ri- d g
Project Name:
DETAILED DESCRIPTION OF WORK:
�arr�ar /�x7-
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.2 2.
Block No. 5 S
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: $ _ /aWlno Utilities: _ Sewer _Septic Building Height:
Pond
Pitch
OWNER/LESSEE:
CONTRACTOR:
Namearon Krol lU<
Name: I sclae 1:�ff I CI
Company:ATecb— Garage DOCYS
Address: 5t-IO3 P011- 1 Or'
city: sort Placc State: T
Zip Code: ?,L49 N Fax:
Phone No. H U 0-P - Z I
E-Mail:br1Un a' ck TherndSlg0S.I017-
Address: -70 GofDrth Blljd
City: PSL Stater
Zip Code: 3y 25 2 Fax:
Phone No---J Z- g28'SLA 2
E-Mailn+C-rr rloor a ama I I core
FIII In fee simple Title Holder on next page ( If different
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.
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