HomeMy WebLinkAboutBuilding permit app, owner updated 12.07.20,W
All APPLICABLE INFO MUST Be COMPLETED FOR APPLICATION TO BE ACCEPTED
Data: Permit Number.
n
Or OR
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° Building Permit Application
Planning and Development Services
BuAdal and Code Regulation Division Commercial Residential
23M VirimmoAwal fore Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
...
Address: 57 i SUNSe>L f! f=ps� eFLe A3yc TIVIM
Property Tax lD#:_ 34021.- Wngi 04L --00 l 4
Lot No.
Site Plan Name: Block No.
Project Name:
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- WE G#)' E' iw 9e/4rP ffT CyA P tA! IROI
New Electrical Meter il%%� Second Electrical Meter
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doom _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft of First Floor:
Cost of Construction: $g Utilities: _Sewer Septic Building Height:
Name 00AIJIFIl
Address: °7 iS a) .S y
Company:
City: r4e ref f
Address:
—Stall
Zip Code: ISYW Fax:
City: . State:_
Phone No. '? 0 � -?,a i /�i,6 t�
Zip Code: Fax:
t7,
E-Mail: %AA[p g5P, t
Phone No
Fill in fee simple Title Holder on next page (if different
E-Mail
State or County License
from the Owner listed above)
H value of construction is 250Q
or more, a RECORDED Notice of Commencementisrequired.
If value of HAVC is $7,500 or
mom, a RECORDED Notk of commencement b required.