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HomeMy WebLinkAboutBuilding permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date Permit Number: I � ��CflK A 0 r ° - Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce Ft 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: rY Address: A'O D /)&6 7W r r_ �7f1lL %U ✓f� /�YL�K�i�- iY � LA�JV � Property Tax I D #:�// "'!/U --ADI>IJ Lot No. S Site Plan Name: e:�,.C�,/�.,' Block No. Project Name: , tea ziyfl3 z Lyd f DETAILED DESCRIPTION OF WORK: / EegftC ND�r 42A?J[. F�%WdV QT Al AV L" 2 N�/'IQSd 1S//tiI� M New Electrical Meter Second Electrical Meter&/&:� CONSTRUCTION INFORMATION: Additional work to be performed under this permit— check all that apply: _Mechanical _ Gas Tank — Gas Piping Shutters Windows/Doors Pond Electric —Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 9. Z�> Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name &Jw)1- LD Name: &n/i1Ld Address: AlPD &ArV C, Company: /) /, City:Ar,/,.scw &Azu'& Zip Code: Phone No. State: Fax: A& „ Address:_ of 9 a3 7� City: ��M7— State:oq- Zip Code: 3Vff Fax: Nlif-- Phone No E-Mail E-Mail: Fill in fee simple Title Holder from the Owner listed on next page [ if different above) State or County LicenseZ!Dl4��33 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.