HomeMy WebLinkAboutCONTE PERMIT APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: � I I U l Cx�(') Permit Number:
COUNTY
LL"",a
• 'Ple("mit 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 V
PERMIT TYPE: (_C ('_ T IZ I Cly L_
Address:
Property Tax ID #: �J' �Oii - `�(� - (� J5� -��,(`, -� Lot No.
Site Plan Name: Block No.
Project Name:
Additional work to be performed under this permit - check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator T Roof
Total Sq. Ft of Construction:
Cost of Construction: $
Name
Address: '7NG�j - C` trtY'`LVS t'N>✓
City: FI . I EzCc F� State:
ZipCode: Fax:
Phone No.
E -Mail:
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name:_
Company:
Pitch
Address: 1Ok '> V3 \0 kz�
City:State:Q-
Zip Code: Fax:
Phone No SAW- �
E -Mail aoysmaAuk,2
State or County License
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.
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