HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Permit Number:
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4 Building Permit Application
Planning and Development Services \
Building and Code Regulation Division Commercial Residential 1�
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Address:
Property Tax ID #:
Site Plan Name:
Project Name:
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Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: I
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 X Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ O b
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR: e6krS
Name N L' u/- le,
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Name: r d
A¢�Iress: G Zi 2 ,
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Company: lt4 ck ^ 4 411 l r c�-- W'p r 4a - y
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Ci lV4s,1 �, C State: ��
Zip Code: 3 `rJ i6 Fax:
Phone No.
Address: ? ua s t C 64 W `h (G'
City: ; (,T ti+ �, i� / State: FL -
Zip Code: �/ `I �(� Fax:
Phone No
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail -K, .5+-e r : -P ynwr L1 r : c�S f 2 % (-, p 1
State or County License L F ti 7 l
it vawe 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.