HomeMy WebLinkAboutSwiezy Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: .2 / f z Z ( Permit Number:
Building Permit Application
Planning and Development services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential_
PERMIT APPLICATION FOR: dl
PROPOSED IMPR—O�V�EMENT LOCATION:
Address: 8Z5 I ! I 1 Qr� 4-1 C-L / . i /io G/ 2 LJ(T1
Property Tax ID 0-70-7 _ 200 Site Plan Namera�S%//(Yny7/(75,23 3G 90 BIK.B F'
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Pro'ect
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NamName:
DETAILED DESCRIPTION OF WORK:
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.
3lock No.
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors Pond
Electric _Plumbing _Sprinklers
Total Sq. Ft of Construction: _SrJSe�
Cost of Construction: $ 2 1 � c150. 00
Generator ✓ Roof 4___ Pitch
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Na-meS� 4 a Yi r
Address: Z T —� ���
Name:
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Company:ilJ.Gt9$af) aj(YY Cla s Q IJ&--s
City: {gyprf e State:
Zip Code: 3qgS2- Fax:
Phone No.
Address: SLt� �/�q st
City: State:
Zip Code: 3c%q, 3 _ Fax:
Phone No Ma- 301 -a tiB8
E-Mail:
Fill in fee simple Title Holder on next page I if different
from the Owner listed above)
If vah'a ocnn ....._.___
E-Mail_ffleatssa9 C) rV,_
State or County License
- - ----I rvuu-e ul W Frlmencemenr Is required.
If value of HAVC is $7,5D0 or more, a RECORDED Notice of Commencement is required.