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HomeMy WebLinkAboutBUILDINGPERMITPG1 All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: � o LLL t� L J) i ` u L tk " Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential X 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: RE-ROOF MULEHIDE PROPOSED'IMPROVEMENT LOCATION: Address: 6209 S. INDIAN RIVER DR. FORT PIERCE, FL Property Tax ID#: 3412-503-0002-000-2 Lot No. 1 Site Plan Name: SILVA RIVERFRONT ESTATES Block No. Project Name: DETAILED DESCRIPTION OF WORK: REMOVE EXISTING FLAT ROOF AND REPLA E WITH NEW MULE HIDE 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: rl Q Sq. Ft. of First Floor: Cost of Construction: $_i_r✓'�a 4 Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name l ) " Name: Address: (� .,t� S d��llU UDR D�-_ Company: N (moo pf'/Uc- City: eb/LT State: Address: Sg09 SUO MpfP—t2EL.- ST Zip Code: Fax: City: /i State: Phone No. Zip C, yuFax: E-Mail: Phone No Fill in fee simple Title Holder on next page ( if different E-Mail S A M ym 6L x,(z 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.