HomeMy WebLinkAboutApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 a -4s - �'-) bc; X d Permit Number:
COUNTY
. A
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION: --�
Address:
PropertyTaxlD#: -34o Lpd ooddD Lot No..
Site Plan Name: G l Cx Block No. C
Project Name: SksA-c, `Aq i t t.q
DETA1Lr=D DESCRIPTION OF WORK:
0
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
—Mechanical � Gas Tank _ Gas Piping _ Shutters ` Windows/Doors
Electric plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $
OWNER/LESSEE:
Name
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
Address:,�� `scl�zas_� qwl., `LLLL-
City: _ter lG r G State:
Zip Code: 0VT5Fax:
Phone No._�_ 3 [a �(
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
1
Name:- �`' �r-C"b�ctC�
Company: p: -
5e(6
Address: `vJ3Qz q--'
City: c -c'e,
State: i
Zip Code: 3gcSd- Fax
I '4ko(o�13�}
Phone No -71a (4(,Dk-k 91(PV
E-Mail a t)r
Mo.r , t,O0�
State or County License
If value of construction is $2500 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.