HomeMy WebLinkAboutmaya 1All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Cate: 4 ,l 3
Permit Number:
Planning and Development Services
Building Permit Application
SuddingcrrdCode RecgulationDivision Commercial Res id entiaI
2300 Vrrginia Avenue, Fort Pierce FL 34982
Phone: {772 462-155.3 Fax- (772) 462-1578
PERMIT APPLIC TION FOR:
PROPOSED IMPROVEMENT LOCATION.
Address: e 8�: `` [
Property Tax I D #:
Site Plan Name: ,r
Project Name:
L DETAILED DESCRIPTION OF'WORK: -
New Electrical lk+Meter Second Electrical Meter
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CONSTRU&ION MFORIVIi TION:
Additional work to be Performed under this permit check all that apply-
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Mechanical — Gas Tank — Gas Piping — Shatters _ Windows/Doors
Pond
_Electric — Plumbfqg Sprinklers `Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft_ of First Floor:
Cost of Construction: r Utilities: _Sewer _ Septic Building Height:
C)V' NER%LESSEE:
CONTRACTOR.
Name
Name:
Addre,ss:l ti
Company: t
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City: - State
Address: 1 (
Irk
Zip Code: - Fax:— _
City: P
Stage: t!7
Phone No.� , j 1L4 -
Zip Code: Fax:
E -Mail:
Phone No 40 3
Fill in fee simple Title Holder on next page if different
E -M ai I—IW74, WC049z +Co.
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from the Owner listed above]
State or County License l
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It value of construction is 2500 or more, a RECORE)ED Notice of Commencement is required.
If value of HA'VC is $7,50p or more, a RECORDED Notice of Commencement is required.