HomeMy WebLinkAboutBuild Permit 1All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: bc� -0-3- 202-4) Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Residential
Address:-lLt `a s` �L�`�:`,\�" �� ��c�t� �.�lC '�L ?JL (1)S
Property Tax ID #: '�L-i 1C)i CaCC o (-C -occ� C --i Lot No.
Site Plan Name: Block No. _69
Project Name:
I DETAILED DESCRIPTION OF WORK:
�� -CA rAP V040 Y
A00 c�o�I1c� �� � x V- r- It I c Y
New Electrical Meter Second Electrical Meter
I CONSTRUCTION INFORMATION:
Additional work to be performed under this permit- check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: (SnfCA
CIA
Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Pitch
Cost of Construction: $ 1 W :>0. Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name U-) LeLi),(L
Address: -1-11k P6f on,
City: `' o� -A- S� , l,�a-C `�
Zip Code: 3`1l�S 3 Fax:
Phone No. '-\-) L- cV�S- � ") & \
P)lyc�
State:'FLL
Name:
Company:
Address:
City: State:
Zip Code: Fax:
Phone No
E -Mail
State or County License
E-Mail:�ti�,-XQ,'H-+L_20 @
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
11 VdMe of construction is LSuu or more, a KtLUKU1:u Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.