HomeMy WebLinkAboutBuilding Permit ApplicatlionAll APPLICABLE INFO COMPLETED FOR APPLICATION TO BE ACCEPTED
—7MUST nBE
Date: O -� / 1�`� Permit Number:
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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 /k
PERMIT TYPE: Derry 0 )i 7L.%a h
PROPOSED IMPR"O�VEM/ENT LOCATION:
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Address: 5-3 zVe"1#1,ei Rl1/ J-P41-67 /CL. �Y?J 1-7
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Property Tax ID #: 6/5'02 0720 V 000 r r Lot No. 1573
Site Plan Name: �L2UE f Block No.
Project Name:
P erg/0 f7i0h an reknovGl
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i� �W4 ro0rn . ConC�e Jae G7'rI't/r y fa neAlaf
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: 713 Sq. Ft. of First Floor: 7�3
Cost of Construction: $ 1900-& Utilities: /Sewer _ Septic Building Height: 8 t
Name </YiG -t S Name: M /" i h
Address: 5111 ✓Yr #1ef Company: Gr'> i7' 45af !ic_ le
City: _Ten Sen e,.,a4 State:- Address: ?d I TX
Zip Code: 075 7 Fax: City: �j+�Ch � �� State: �CL-
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Phone No. V y- XV - 7OQ l Zip Code: 3075 7 Fax: 77.2 ;23 2 -.2/91
E-Mail: Phone No - ,ZOO -37/S
/77,2
Fill in fee simple Title Holder on next page ( if different E-Mail A4;44 r» -1,M / 1/4C eo OO.CW"
from the Owner listed above) State or County License %ZJAT-Q 98l
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.