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Home My WebLink About1785 SHINN RDAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: q1 I bAo Permit Number: 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: E LEUP- PROPOSED IMPROVEMENT LOCATION: Address: `J " Property Tax ID S-aII- () I _000 -rt Lot No. Site Plan Name: Project Name: DETAILED DESCRIPTION OF WORK: Block No. F pp, OFFICC F OF—t> N IZS`� � 2N 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: Cost of Construction: $ Q . ��,.0U Sq. Ft. of First Floor: Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name -T"LDD %• Name: Com an p Y 1 Address: �O'PtJF_P_ R�� City: F'T, State: Zip Code: 31AgR;IFax: Phone No. Address: U(»h 0 kAALLDL 12A , City: a, !`�►@rC� Zip Code: '}101�a- Phone No - l Stater Fax. �Al_o4A E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail AC�+�Y`CS'; ( State or County License Q© QO •L'0�'i 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.