HomeMy WebLinkAboutBUILDING PERMIT (2)All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Nm
LL
IFM
Building Permit Application
Plonning asM Develagment services
Brdlmrar end We Repu( Division Commercial Residential
$300 wool Avenue, Fart Pierce It MAJU
Phone: (772)462-1553 Fax (772)462 1578
PERMIT APPLICATION FOR:
PROPOSED I MPROVEM ENT LOCATION:
Lot No.
Block No
DETAILED DESCRIPTION OF WORK:
D'zc
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shuners �WlndowsmDoors _Pond
_Elel _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ fi'+S Utilities: _Sewer Septic Building Height.
OWNER/LESSEE:
CONTRACTOR:
Name )t, n ( brad/r' 1
Name: /S''ni & era
Ad
Company:d-7 Ep
cry:F . (ter. T State: (
Zip Cade: actGRJ Fax:
Phone No.t�a7) Tai -ci
Address: 4gyl mc.
City: C&- vtL cur State: Fl
Zip Code: �%QAES • Fax:
Phone NOC19 )9xa—guol
E-Mail: sko
Fill In fee simple Title Holder an next page (Btltlferent
From the Ownerlised above)
E-Mail
State or County icen eORsA
pima.
If value of HAVC is $7.500 or more, a RECORDED Notice of Commencement Is recurred.