HomeMy WebLinkAboutBuilding Permit Application All APPLI . B E IN F MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2� Permit Number: a.dd� dad
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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:
PROPOSED IMPROVEMENT LOCAT{ON:
Address: 14[' oo . �i- tib«-C
PropertyTaxlD#: �3 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DE�SC«RIPTION OF WORK:
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New Electrical Meter Second Electrical Meter
ONNSTIRUCTItJN 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: 12 00 t;CL CT- Sq. Ft. of First Floor:
Cost of Construction. $ V—Vor'>O. �C9 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name 4 Name: '12— �
Address: 14L a Statei 6rc5yAE-9tQNOE. oo' fl Compan}r`�t��/2 Nrn I WO—
City: Address: O ..K� c'- —'
T �i
Zip Code: Fax: City: S&rwl :94 tate:'
Phone No.Z Zip Code: "Faz:. '2 Z
E-Mail: Phone No "1?'7— 7f,> If
Fill in fee simple Title Holder on next page(if different E-Mail
from the Owner listed above) 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.