HomeMy WebLinkAboutBuilding permit app page 1, updated, new contractor 11.9.20 All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (�, r��
Date: u`" 'l^ �� Permit Numb�'1 §
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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:
Address:
Property Tax ID#: G�-tt � � ���` �1 � J' V Lot No.
Site Plan Name: Block No.
Project Name:
®ETAa4D DESCRIPTION OFVa/Q
New Electrical Meter Second Electrical Meter
RTs .N 'L°�-
Additional work to be performed under this permit-check all that apply:
'1Mechanical Gas Tank —Gas Piping _Shutters Windows/Doors _Pond
- Electric Zlumbing —Sprinklers —Generator (/ RoofPitch
Total Sq. Ft of Construction:— Sq. Ft. of First Floor:
Cost of Construction:$ �;��o Utilities: —Sewer _Septic Building Height`�t
Mar,
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�OWN`ER/ SSEE£-� - � � r �, F � ;
Name Name: /
Address: Compan Ck1 k, C
City: rD IPrrx State: FL Address: _ S
Zip Code. � �C1 kA�J Fax: City: Wro State:
Phone No. 7 Zip Code: 2Q Fa-
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E-Mail: Phone No
Fill in fee simple Title Holder on next page (if different E-Mail ry?l c d L t-R 5 � els,
from the Owner listed above) State or County License_e,A-C-
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.