HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST.BE COMPLETED FOR APPLICATION TO BE ACCEPTED �rN(-N
DateAr/'.02 2 U Zc7 Permit Number:
94o
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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
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PR®POSED„IMPROUEMFLNT�LOCA�YION �r r >;� � . ,,., u ` � i`
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Address: 7 7U� F7- (y 4 L %o/eJ 1T?l z 7 Pi.e(`-e El ` o 95/
Property Tax ID#: �� 1• L4 '��� ` Lot No.
Site Plan Name: Block No.
Project Name:
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D;ETAILED�rDESCRIPTIO,N,O,F{W � � s�
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New Electrical Meter Second Electrical Meter
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CONSTRUCTION I(VFORN1sATK N����� w� Ik , k
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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: Sq. Ft. of First Floor:
Cost of Construction:$ y C) . Utilities: —Sewer —Septic Building Height:
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NTRAfCT
OWNER
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Na Name:
Address: l Z S Company:
City: (��.�� _.✓�L- State: l Address:
Zip Code:3197./ (L— Fax: /y/r� City: State'
Phone No. /� /g 3_ Zip Code: Fax:
E-Mail: Phone No
Fill in fee simpv Title Holder on next age (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.