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HomeMy WebLinkAboutSL-Permit-App-GATE-HERITAGE-Page-1All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Z� !� —� © Permit Number: O 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: I PROPOSED IMPROVEMENT LOCATION: I Address: Property Tax I D #: Site Plan Name: S - -70'::t' - Project Name: C_� ia+c'— R ey l "-c o — vl Lot No. Block No. I DETAILED DESCRIPTION OF WORK: I New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit- check all that apply: _Mechanical Electric _ Gas Tank Plumbing —Gas Piping _ Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ ak4oa ©o Shutters _ Windows/Doors _ Pond _ Generator _ Roof Pitch Sq. Ft. of First Floor: Utilities: _ Sewer _ Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Aim 0T 0 I'f's V"Y-01 Name: Address: 6135 ►}e -d aqG D✓ Company: Ft rs- u(i1 }` 4 ec Y`iIc_( I City: hC/ State: NO Zip Code: 34°157, Fax: Phone No. 1064- g}% -`2635 Address:SE©G-Pa,tAeIUCj: � city: [jo-y--F State: PL Zip Code: S4gq co Fax: Phone No(n-7; ) - Aug --80li�1'2 E -Mail: RAvnoki (' AVIPt &,(p 10 Oymcgi I-COW1 Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail M -P t ay,G C`O✓VIei�S-I . c h -el- State or County License e.c [12�009n q (O 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.