HomeMy WebLinkAboutbuilding permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
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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) 452-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 45604
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Property Tax ID #: 2'S Z - Soo - 00 '7 $ 000 -2 Lot No.
Site Plan Name:
Project Name:
I DETAILED DESCRIPTION OF WORK:
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New Electrical Meter. X Second Electrical Meter.
Block No.
I CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit- check all that apply:
Mechanical
Electric
Gas Tank
Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ -JOd
—Gas Piping
— Sprinklers
Shutters 7 _ Windows/Doors Pond
— Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: `Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name ,clw.ts_ CaX
Name:
k C'CY6
Address: 1 V4 (c L-v\
Company:
,,GL IT e ne-
city: —. Lon% Grove _ State: tL
Zip Code: _ Goog-1 Fax:
Phone No.
Address:
2 [2(o SW gZd4c (a✓f
City:
Zip Code:
Phone No
. S1 1 tic ; State: rL
3getS Fax:
�'? 2- -2 f2q
E-Mail.
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail YQu,r & j - e- e WJ4 ,l -Co-,
State or County License 311,49
11 vdlue of construction Is z_,�ou or more, a KrCUKDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.