HomeMy WebLinkAboutUslu-Building_Permit_App PG 1 B F M B M F B
Date: ____________________ Permit Number: _____________________
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Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial ________ Residential ________
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: __________________________________________________________________________________________
Legal Description: ___________________________________________________________________________________
__________________________________________________________________________________________________
Property Tax ID #: _________________________________________________________________ Lot No.__________
Site Plan Name: __________________________________________________________________ Block No. _______
Project Name: ______________________________________________________________________________________
Setbacks Front__________ Back: _________ Right Side: _________ Left Side: ________
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit – check all that apply:
__ HVAC __ 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: $ _____________________ Utilities: __ Sewer __ Septic Building Height: __________
OWNER/LESSEE: CONTRACTOR:
Name__________________________________________
Address:________________________________________
City: _________________________________ State: ___
Zip Code: ______________ Fax:____________________
Phone No._______________________________________
E-Mail:_________________________________________
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Name: __________________________________________
Company: _______________________________________
Address: ________________________________________
City: ______________________________ State:____
Zip Code: ________________ Fax: __________________
Phone No. _______________________________________
E-Mail: __________________________________________
State or County License: ____________________________
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900 SHOREWINDS DR B
CORAL COVE BEACH-SECTION ONE- BLK 1 E 16.67 FT OF W 45.89 FT OF THE FOL DESC PARCEL: WLY 52 FT OF LOT 15
AND ELY 27.10 FT OF LOT 16 AND THAT PART OF SLY 10 FT OF VAC ALLEY ON N (0.05 AC - 2,334 SF) (OR 3955-727: 3976-1610)
1425-701-0016-010-8 15
1E
1088
4600.00
Ozlem Uslu
900 SHOREWINDS DR B LARRY NEESE, LLC
Fort Pierce 3401 S. US Hwy 1
34949 Fort Pierce FL.
34982
askpeterblack@yahoo.com 772-361-6580
larryneeseroofing@gmail.com
CCC1330608
5/12
FL
Roof
Remove and replace existing roof covering
Titanium PSU 30FL11602-R9
Extreme Metal 5V Crimp FL20378-R1