HomeMy WebLinkAboutBuilding applicaiton permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
tk' ti- Building Permit Application
Planning and Development Services
Residential
Building and Code Regulation Division commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone:
(772) 462-1553 Fax: (772) 462-1578
PERM IT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: S20 I`� -� E f L.
� � ��
L IN�CT�EE. .�
Lot No.
PropertyTaxlD#: 3y-oz— (cp a —OI%(P -C)00- S
Block No. S
Site Plan Name:
Project Name:co��Prz�
DETAILED DESCRIPTION OF WORK:
AI oo c0CC l,I F-r S-Tv' ION "Ti CD ktiiO �c 151Ti��lG SGpTIC 2yE
P Wfs� CC-aSET ��(HZ FwsN� 4 wP �Ir3�
R� C3/ (� EC-T[ o� ON utia - W EB i Eo (afro Ho C)SE
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 XPlumbing Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Ze Sq. Ft. of First Floor:
Cost of Construction: $�S 00- Utilities: _Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Namef"AiPk1�+a&,u Q l VO
Name:
Address: 52-010 !
Company: �.R. LAJOtIA t4:E L-U umL3i Nc, . LL C
City: Tocr,'I E2cE State: FL
Address: 56e% ?f�P-A/p � ,
City: orrr IE2cE State:_j �
Zip Code: 34qav2 Fax: r-I /I
Phone No. 7 % Z `42 S - SIB
Zip Code:-54ciIW7 Fax: i 4 A
E-Mail: I-�-'4 LC �Mk,i C,onc
Phone No -77a 2IS- gL10 f
Fill in fee simple Title Holder on next page ( if different
E-Mail �r'�"��'N¢LL-P(-um 13 ;l) It
from the owner listed above)
State or County License_CFC, 427-32q
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.