HomeMy WebLinkAboutslc permit 12.8.20All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
�. J
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 it
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: to\.k ° , `, Property Tax ID #: , "" � - t�s o "` Lot No. 17
Site Plan Name: Block No.
Project Name:
I DETAILED DESCRIPTION OF WORK:
C9
I CONSTRUCTION INFORMATION:
L; 7 A
Additional work to be performed under this permit —check all that apply:
_Mechanical Gas Tank _ Gas Piping _ Shutters
_ Electric Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 1t)'
Sq. Ft. of First Floor: _
Utilities: —Sewer —Septic
Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Ma
Name:C 0C�
Address:
Company: l%t I
City: ' u cj � I State: FLU..
Zip Code: �L�" ft� ` Fax:
Phone No.
Address: i . �ffr i (�
City: , I el C tate: �
Zip Code: -2) V 9 `i 6 Fax:
Phone No-7 7 a " 777-- 00
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail 7 7 I t v\ c C)Y W Vv-,
State or County License C-r c 0 R`'
IT Value or construction is $Z500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.