HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I Permit Number:
J L ULL ' Q
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: {map ( to we- Re - K U o �
IPRORp$ED.IMPROUEMENT.LOCATION;.
Address: 10 0 00 S. 0 ce-an Or i we, ry scar Ns rz.- J Y ILI
Property Tax ID#: 41.50L — 31LI — 6O o 3 —0 l o — / Lot No.
Site Plan Name: ppp N 0 d� _ Block No.
Project Name: .Do 1 3 a0Or-
DETAILED DES,CRIPTION,OF WCff2K
- Za n+ M.etul Jo met(•" and 3-fAf Flat t-OU�-
New Electrical Meter Second Electrical Meter
77777777
CONSTRIJCTI Po"'.1 N
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator Roof KI2- r O�l Pitch
Total Sq. Ft of Construction: 10 P Sq. Ft. of First Floor: LQ f
Cost of Construction:$ 2-01000.. 00 Utilities: _Sewer _Septic Building Height:
OWNERJLESSEE CONTRACTOR:
Name hirQm4r Weir Inc, Name: 0 1ce B Lnro.
Address: Po Box 413 Company: otai Roo-6 R ms s KE'r
City: Jensen 13e4Ck State:FL- Address: .?14a SE v i Sf
Zip Code: 3445 V Fax: _ City: S}-uAa t- State: F
Phone No. 112-- q) 0 — I I 1 fO Zip Code: 39 q 1 '7 Fax:
E-Mail: QJ.CA I r00 F p t rrS. RU Phone No -7 7 2— Ll10 - 9/!Co
Fill in fee simple Titl older on next page(if different E-Mail
from the Owner listed above) State or County Lic se Cc G l 3 3 2,2L/o
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construction is 2500 or more,a RECORDED Notice of Commencement is required.
HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.