HomeMy WebLinkAboutWilliams Window PermitAll APPLICABLE INFO MUST BE COMPLETED FAR APPLICATION TO 13E ACCEPTED
Date:
s5irco ILUCUE
C) R R .:
Planning and development Services
Building and Code Regulation DivIs
ision
2300 Virginia Avenue, Fort Pierce FL 34982
Permit Number,
Building Perm6t Application
Phonee:(772) 462-1553 Fax:4
(772) 462-1578
Commercial Residential
PERMIT APPLICATION FOR,.
.—Till
P'ROPO-S�a OVE-M.'ER��' LtJC�iTiQN:
Address,- S V11L
Property Tax ID #-a& "')k(I
Site Plan Name:,
Project Name: _.__.F, r\..L,
oubw roe, 0
ejpp� 7- ?,�
NPW Fhmrtrirn1 hAotnr C A-L ape& 4pu &OW J t' I -.- ---I- - - ! - - I IL A
Additional work to be performed under
_Mechanical `Gas Tank
_ Electric
_ P I u m bin 02
Total Sq. Ft of ConstructOb
ion
Cost of Constructap
ion
_Generator
Sq. Ft. of First Floo
Utilities:
Sewer
EMPMENW-F
this permit — check all that anniY:
_Gas Piping
_Sprinklers
Lot No&
�
Block No.
_Shutters �t/indows/Doors _Pond
_ Roof Pitch
r:
_Septic Building Heights
OWNE-R.f LESS£E: CONTRACTOR:
Name ��%t\jL Name./)�a��
Ad d ress:_"��'�`� � hd'A v� Company,.�_�v:�a��-
City:CIW-ToA�Jl�.�'c,e..
State: � Address,* �� tk ,��;,L
Zip Code: �� �� `� `k Fax: .��� City: State!:
Phone Na��� S1�C- 1�5�-1.�- ,... Zip Code: ��- Fax*• �9-t� ,4oaa�
E-Ma1*1: Phone No�
F'1*11 fan fee S1*mple Title Holder on next Page (if different E-MIEPW
��.r��� , �rrtiv„uf� �r�c.��;� �n�,�'�,�-►
from the Owner listed above) State or County License �(rC l 57 t )4,`5 1i
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7J0500 or more, a RECORDED Notice o'' ommencement is required.