HomeMy WebLinkAboutRusignuolo permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building Permit Application
Planning and Development Services X
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 452-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: RE -ROOF METAL
PROPOSED IMPROVEMENT LOCATION:
Address: 3728 St Frances Rd Fort Pierce, FL 34982
Property Tax !D #: -
2434-501-0052-000-6 Lot No. LOT 3
Site Plan Name:
ST JAMES PARK Block No. EiLK 4
Project Name:
DETAILED DESCRIPTION OF WORK:
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:f, � B 3 Sq. Ft. of First Floor:
Cost of Construction: $ % U� 0' 0 tj Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name c4dbii 0,S j' N 0 C)L-0Name:
Com panw.�OV
Address: �- 2T .5—r CES Rpm-) _ R y.
City: jOA-a P + AIr E Stater Address: 6-ctO
Zip Code: 3'��Lss2 Fax: City: PA- State:
Phone No. Zip Code: 34 Rgt.t7 Fax:
E -Mail: Phone No -7 12 _ 3�-( I ` 'P_7`
Fill in fee simple Title Holder on next page ( if different E -Mail S:�- VVX\(',C e F '
from the Owner listed above) State or County License I .!
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.