HomeMy WebLinkAbout5902 SUNSET BLVD- Permit App.All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: bZ N. IZo4 I Permit No
t` - Building Permit Application
Planning and Development services
Building and rode Regulation Division Commercial Residential ei
23M Nrglma avenue. Fort Aare FL 34M
Phone'.(]R) 4621553 Fax: (722)462-15)8
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Property Tax lO a: Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
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New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechaucal _Gas Tank _Gas Piping _Shutters clWindows/DDors _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq, Ft of First Floor:
Cost of Construction:$ /Inn Utilities: _Sewer Septic Building Height'.
OWNER/LESSEE:
CONTRACTOR:
Nome�tw. a "a., _
Name: LcoflC Aer
Addre coo. . o, e E iii
Company:
City Hst s r cx. r State: RI
Zip Code: 3448t Fax
Phone No.(}ZTT PiB-09 z+
Address:;bOA,`ad er✓
CIN:)QE4Sq,...L U/x% State:[
Zip Code Fax
Phone No
Elved: m.dnn ffioAact r
Fill In fee simple Tile Holder an next page (4 different
from the Ownerllsted above)
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State or Coun Licenyeergailififift—�
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arvainve or commuccuum is zmau or more, a MiLiviii Nor" Or commencement is gmr. .
IT value of HAyc is $Zre 5oo or more, a REre
CORDED Notice of Commencement is required.