HomeMy WebLinkAboutVilla Permit 1All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
nL L'
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n -- 1 Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residentia
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: M fq—. slW91--t ffimli'y Aooz WN
PROPOSED IMPROVEMENT LOCATION:
Address:
Property Tax ID #: Lot No.
. Site Plan Name: L tK6r� `` ,,��B%�K �T� 260P No � � Liti(� �,,(3�- !-'' Block No.
Project Name: vji�v%�/ 24"
DETAILED DESCRIPTION OF WORK: 1
MAW
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: } Sq. Ft. of First Floor:
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Cost of Construction: $y Utilities: —Sewer _Septic Building Height:
OW N E RAESSE E:
CONTRACTOR:
Name L ,,
Address: T407, awbay /?bW
Name: DAM MAVfAA(T-
Company
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City: L State: tt
Zip Code: Fax: r,�
Phone No. ���� LP -y�
E-Mail:
Address: :60 /O b-
City:
Zip Code:
Phone No -
E-Mail �y �S1i1
State:
Fax: 3�mz `5(Oa -46y?"
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License CLLicSZ,�
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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.