HomeMy WebLinkAboutGROVE COMMUNITYAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: o2 Permit Number:
Building Permit 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
PERMIT TYPE: E L ET C_ 19 1 C A L
Address: '7�`1()- J U �) U
dLY -1 2
PropertyTax lD #: M03---S0,1-M39-616 Lot No. '25L]
Site Plan Name: LL,)h;+-- L�� 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
Total Sq. Ft of Construction:
Cost of Construction: $ (D, f500, O
Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
Name LQK UCY li (l JrhlI i1 ,
Address: 5 CI(L�. 1-[tcN J_
City: ��.1 CP Stater
Zip Code: �7�%gOoZ Fax:
Phone No.
E-Ma i l : OL2 CofYJ/17U// _ Y 0 G / 1
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: !I) /1-(( &LF 10
Company: kAd4al'Ong _ /
Address: I f0 fit` 0/� d C
City: State:
Zip Code: ��i c�� Fax: it (1 l08 J
Phone No d �- 83ae
E-Mail `,riO)eCj)�a+Lda('a )Qp1.eLy71
State or County License [ C. l3w )�Q �11
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.