HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ( 2c) Permit Number:
�`L. LULLL
I _ r
Building Permit Application
Planning and Development Services /
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: Gorogc poor
PROPOSED IMPROVEMENT LOCATION:
Address: Sqq I C lyd 1 sd o l C Lan -C
Property Tax ID a: 330Cl _IJ05_000L1- 000 - 2 Lot No 1
Site Plan Name: PcnI P(neS -Unit GnC Block No-
Project Name:
DETAILED DESCRIPTION OF WORK: 1
IZeplaci0a rXlSfil nq Ivx-I garoae 000Y wl1 h a nC4�c- ll1'1�
r d I(x`7 Qnygi2c occr
New Electrical Meter Second Electrical Meter
f CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
Mechanical
Electric
Gas Tank
Plumbing
Total Sq. Ft of Construction:
Gas Piping
_ Sprinklers
Shutters
Generator
Sq. Ft. of First Floor:
Windows/Doors Pond
Roof Pitch
Cost of Construction: $ Q-00 Utilities: — 5ewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name LOY .I KOr)(I I I I
Name: 1500C fJCr 1 a
Company: A TC-Ch 60iLli2c S
Address: _70 CC?f 0Y th Vti
City: PSL State: fC
Zip Code: 3W_52 Fax:
Phone No-1--1 2 V27-Sy2 )
Address:_';qq I C INdCSdOIf LQrlt,
City: fir t a LLAU C State: _EL
Zip Code:.�yQ T1 Fax:
Phone No. 112• 712 -1 SO(v
E-Mail:L0i I;OnS5-7lp 001 'Gill
Fill In fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Q i cchQor&1QccJcore qi)-ici I I C c✓ i
State or County License
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.