HomeMy WebLinkAboutBuilding permit appAll APPUCABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1211612� Permit Number:
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Building Permit Application
Planning and Development services
Briefly and code Beglankin DlWskin Commercial Residential
1300 Vmsnio Avenue, Fin Pierre FL 34963
Phone: ITTZI 4621553 Fax pnj 463-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address. Z7 R C2R
Property TaxlON _ Lot No.
Site Plan Name: Block No,
Project Name'.
DETAILED DESCRIPTION OF WORK:
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New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to he performed under this permit- check all that apply:
_Mechanlnl _Gas Tank _Gas Piping _Shuners gWlndows/Duws _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sp. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: S l70d Utilities: _Sewer _Septic Building Height.
OWNER/LESSEE:
CONTRACTOR:
NametEItisciT rld a
Name: /SS Or Pus I o
Address: JZOR F>n
Company: /.. _
City: C 1 Stater
Zip Code:34981 Fax:
Phone Na('Y1Z1 g'41- 532 1
Address 4 4 piwN N re .� BIJd
H
City El F . .,,f "(Am state: rk
zip Code: 344 23 ' Fax:
Phone No j" 1f7) Non -Z u aa
E-Mail:
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fromthe Ownerllrted aboyel
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state or CounryLicePer
a Fewer, cunumum, M Zaire OF recur, a KFsVKWCLJ Matter Or c,mm,m,m,n, is square.
If value of HAVC IN 57,500 or mare. a RECORDED frAke of Commencement Is required.