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Home My WebLink About Building Permit Application- �' - .,J All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: ��. �' t -- i 9cr. jLUC UR Building Permit Application r� j Planning and Development Services Building and Code Regulation Division Commercial ReSldentia.l 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1553 Fax: (772)462-1578 PERIVIIT APPLICATION FOR: PROPOSEDhI PRC► EMENT LOCAT1{3N, _` s ":� �5 - �ILI, Address: Property Tax ID#: ® �� © ® ro Lot No. Site Plan Name: Block No. Project dame DETAILED DESCRIPTION`:OFWORK New Electrical Meter Second Electrical-Meter w "CONSTRUCTI-ON INFORMATION Additional work to be performed under this permit—check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters Windows/Qee*s _Pond I _Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction:$ Utilities: —Sewer _Septic Building Height: OWNER/LESSEE = CC�NTRACTUR. - I *Name Q -�_.5 Name: I Address: ' ompany_: . I City: VN State: Address' Zip Code: d 4 Ol City:' State: Phone No. �� 'Z �gL�'1 "� Zip Code: -Fax: r E-Mail: �L �� 1�r--� hone No Fill in fee'simple Title Holder on next page(if different E-Mail from the Owner listed above) State or County License If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. If valueof HAVC is$7,500 or more,a RECORDED Notice of Commencement is required. I