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HomeMy WebLinkAboutBuilding Permit Application . A All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED `7 Date: b a Permit Number: ©©� ^� / E-1V60 oo bN1C� � T SEP 10 2020 ST. LBuildin Permit Application uceCounty, Permitting 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;LOCATION: Address: /! OI �,aldlzi}=l i 2 PropertyTaxlD#: �13�0-Sdd-- Oa0-3 Lot No. L5 Site Plan Name: Or�'b-1\v\4 Block No. Project Name: DETAILED.DESCRIPTION OF WORK: �a�moc�i✓ ��CcS���,G, ��J�/ a �.d�2 coo'��aEc( AQ l c`c) I L)1 4)S c�J/ (-F" /%N,cIff K C�y\ckdT, SL-Ala U)t£f ��(� r00%,�,� / -5rzoL2 i Efl_"' � -T(�-e l� act Mb i-A--,La lbA 122 Icz-2 .��hZ> ASC yn E sH ("i,CYz' te New Electrical Meter Second Electrical Meter ; . It"'O""N''STRUCTION 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: 00 Sq. Ft. of First Floor: Cost of Construction:$ Q06o Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name !D(\,1{rC w Name: << iMVke- Address: Onot cI 2c�:T Cj 2 Company: ,l.W, MAC6yncfza�I cch T' City: State: Address:.. ETT P'4 I Ia i l c Zip Code: Fax: City: :Pk, State:}� Phone No. Zip Code: 3�`7 1 Fax: E-Mail: Phone No 772-6;77 -1 � Fill in fee simple Title Holder on next page(if different E-MailCL-k-26 MAt 42 from the Owner listed above) State or County License AC36 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.