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HomeMy WebLinkAboutFERRANTE 6501 PENSACOLA RDAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: a Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial ,2300 Virginia Avenue, Fort Pierce FL 34982 Residential Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: -- PROPOSED IMPROVEMENT LOCATION: Address: (0�� DinCrr'1 r 0 Property Tax ID#: �{ ' ! - ��] "fl Lot Na. Site Plan Name: Block No. Project Name: DETAILED DESCRIPTION OF WORK: New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit- check all that apply: _Mechanical _Gas Tank ^Gas PipingShutters zidows/j)oors —Pand _Electric Plumbing _Sprinklers Generator ^ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ _ 1 T;' Utilities: — Sewer — Septic Building Height: OWNERAESSEE: CONTRACTOR: �Name 11�� ddr s: W � � � Name Company: City State. Address - Pr). � q q Zip Code: Fax Phone No._-7 3a 5 779 -� o� i City: V VA0 _.._ _ _ State:r-L. zip Code: XaW- 1!1,g3 Fax: _ E-Mail: Phone Now! `'453- Fill in fee simple Title Holder on next page( if. different E-Mail State or County License from the Owner listed above) t, ■oeuc ul ivnstructtott 5 Lauu or more, a Ktt.uKutu r4once or Commencement Is required. if value of HAVC is $7,5W or more, a RECORDED Notice of Commencement is required. SL1PPl. ENTAi. NSTFILICT[aN L_-1 I;A1i11 DESPGNERlrlur_ir5,- .. Name: T Not Applicable Address: City: Zip'Rhone State: FEE SIMPLE TITLE HOLDER: Name: Not Applicable Address: City: Zip: ------�„ Phone: OWNER/ CONTRACTOR AFFIDV[T: Applic— i certify th MORTGAGE COMPANY: - - Name: Not Applicable Address: city: Zip: --._____._._ Phone: State: 130MDiNG COMPANY: Name: —Not Applicable Address: City: Zip: _ Phone: no work Orin ion rs hereby made to obtain a permit to do the work and installation as indicated. at has commenced prior to the issuance of a permit. 5t, c is County makes no representation that is granting a permit yvl{f authorize the ermit holder to build the s which l5 In Cflnf m with an a structure. Please consult with Your Horne owners ers Association rules, bylaws or and covenants that may restrict or prohibit such Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested in accordance with the approved plans, the Florida Building Codes and 5t. Lucie County Amendments, y pp y Permit, 1 do hereby agree that I will, in all respects, Perform fire work The following building perm it applications are exempt from undergoing a full concurrency review: room additions swim accessory structures, ming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARNING TO OWNER: Y./--_►C- - failure to Record a lyoti,. of imProve rnenr� f., .— r- -I A M (n rn`�m(D °n0�OD-jC) z Qv>=�F o©�. 1--iozz-4mZ-<°a= ° C3�Aa(n f �p ernDi -40 -amZ a �WQAOz oA� F "060<u)m c()55=-fn �clvzm�r,M 0mm� bzC70 � O MOOCI) e n�A n N_ m0c-mZn -io=O� mr-�uc �C7 n *x] 0 0- zc1"o(D 0VI Q�ZD�Z CJ�Z ZD � pit)'-ro`o �JomZ�o-q . 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