HomeMy WebLinkAboutBuilding permit app, page 1All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r�11
Date: ����1 _ Permit Number: �lQI Q - 0SUR,
ltL�NIC�OG
4OWWOMA.
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: privacy Fence I
Address:
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Property Tax ID #: [So I'Coiu'O t-+L( -ooc) a Lot No.�
Site Plan Name: � {1 CQ� SiC�e'LC�. Block No. y --t—
Project Name: R-nc-'e
f1'1 G U�ca1: WovC
New Electrical Meter Second Electrical Meter
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: $ r1norDX�
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWiUERf LESSEE �� ��t, � '
CONTRACTOR; , , L � h
'Name:
Name �p i^ h'CA.
Address: 7172b.Q Ex *WK Gci
Company:
City: State:
Address:
Zip Code: 31-taS 1 Fax:
City: State:
Phone No. I D~ u 3 t-f ~ `�-to3�
Zip Code: Fax:
E-Mail: J66\60S 19-30�h tk-co*
Phone No
Fill in fee simple Title Holder on next page ( if different
E-Mail
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.