HomeMy WebLinkAboutbuilding permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7-/
Permit Number:
L0e'�411ef Z73- 3oy-dJ�
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
PERMITTYPE: Pe'-40k0.4.1
PROPOSED IMPROVEMENT LOCATION:
Address: //04� /flc7�le f SIL,W Jem re 0ckt/ , /'L 3 9'9 5 7
Property Tax ID #: 1/5-0,2 - 5-0l 42 y3 - 000 -
Lot No. //06
l
Site Plan Name: /vA` e �/tS Block No.
Project Name:
DETAlLED,DESCRIPTION OF WORK:
orn/p% f e ,. dcrmo/i,iah Clrr.-I rrMova/ 0 ]c fO ;7
cr✓rGt' I e.'1 a -'o nl. CO/) crv-Xr� Wriy� fy lY ma-"4
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: /,07 Sq. Ft. of First Floor: f 0 -7
Cost of Construction: $ / 9a,4,.., Utilities: Sewer _Septic Building Height: AC71
Name z-z Name: /M
Address: /I9,4' .4e#I-ef Company: � rn rixG.
City: ne. c L! State: � Address: Xd/ /l/:E 5"'We., Sf
Zip Code: 31195-7 Fax: City: 'T'JHfeg L�tGC% State: R1.
Phone No. 7%,2Zip Code: 3V7 .4-7 Fax: 77?-23,2-,2J9/
E-Mail: Phone No 771- 2dQ - 3 it f
Fill in fee simple Title Holder on next page ( if different E-Mail G,dQ. sn S 07/ 7% j4 c P�yq`jX zoµ
from the Owner listed above) State or County License Cde Jae 5- i 9 81
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.