HomeMy WebLinkAbout7.16.1 pemritAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
LL�C� M
Le L. Co. Ez E ff Building Permit Application
Planning and Development Services 61
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 796:? Pluv`1 A DDA L u 6, C D R,
Property Tax ID #: " U� _ 061f _ 00 "" Lot No. Co
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
D �,\cz vAi?,t J or 40
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
,L,U�Jw h
Additional work to be performed under this permit- check all that apply:
_Mechanical T Gas Tank —Gas Piping _ Shutters
Electric V Plumbing _Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ I 1 Ili
Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Pitch
Utilities: _ Sewer _ Septic Building Height:
OWNERAESSEE:
CONTRACTOR: ,
Name �f1� I I`J
Name: cJ0�1 S' ovuwc
Address:i fl1 LOUS DO__
Company: Eitk" l't I .
City: �Jo 5 I;� e- State: rL-
Zip Code: 913c, Fax:
Phone No.
Address: ��.` � UW ) h I ff
City: ci Lt. C? State:
Zip Code:Li Fax-
Phone No 77.2 --n 7- CICY1
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail C) t
State or County License C r—/-- Y109 Qs,39
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.