HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: \I ZZ in Permit Number:
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Building Permit Application
Planning and Development Services
Building and Codexegull Division Commercial Residential
23W Virginia Avenue, Fort Pierce FL Baptist
Phone: (772)462-1553 Fax: (772)463-1578
PE RM IT APPLICATI O N FOR:�,A�f D ✓
PROPOSED IMPROVEMENT LOCATIO
Address. 56q• OGIpw JI Dig
Property Tax ID p: Lot No,
Site Plan Name: Block No.
DETAILED DESCRIPTION OF WORK:
t. LLJ.. SamE Er
New Electrical Meter Second ElEctnical Meter
CONSTRUCTION INFORMATION:
Additional worktobepertormed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters . Vwmdowrdi _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft Of Control, Si Ft. Of First Filter
Cost Of Construction'.$ 850 Utilities: Sewer _Septic Building Neighs
OWNER/LESSEE:
CONTRACTOR:
Name ChrnIketer,. YaesTya
Name: LOvC I a
Address: $(o EZU(P OO
company :A-9YGh
Address:
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Zip Code: 3a 9 A Fax
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City: prt- Sell CP S it
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Phone Noti RZA-5K/
E-Mail ('inrrr /F Z>an Pclmn.A ter+
FIII Infee simple Title HOMeron next pagellf dlHermt
from the Owner listed above)
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State Or COunryliesevR��Q
regmr u.
If value of HAVc 6 S7.500 or more, 8 RECORDED NMIce of Commencement Is required.