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HomeMy WebLinkAboutBISHOP LOAD CALCAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: (L' kA �aca0 Permit Number: Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT TYPE: Building Permit Application Commercial Residential PROPOSED IMPROVEMENT LOCATION Address: JCI�� `7 Property Tax ID #:�05(Y)CA l-Cyy)""1 Lot No. Site Plan Name: Block No. Project Name: DETAILED DESCRIPTION OF WORK: Additional work to be performed under this permit - check all that apply: m hanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Ov Cost of Construction: $ &S c) OWNER/LESSEE: Sq. Ft. of First Floor: Utilities: Name 5 �S�CGP Address: 11Cx City: �� • p�C'��� State: V\\ Zip Code: Fax: Phone No. E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Sewer _ Septic Building Height: CONTRACTOR: Name: _ QaOVS E 1-\Lt-AuJ� Company:�AaA k)- L1eciY�C�� Address: City: ! �� EEC' - State: Zip Code: 3i i��- Fax: Phone Now- E-M a i l A� U.�G-� C�©` CC Lln State or County License tG \�SC,'O\ A3 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.