HomeMy WebLinkAboutBuilding Permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: of\t)rc�Va\
Permit Number:
r- 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) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: Z0
Property Tax ID #: ��j� c� -`�a%3 (�(:CC COI -1 Lot No.
Site Plan Name: WK. Jrv,kea "L. sod►sK 6 xrc-kn Block No.
Project Name:
DETAILED DESCRIPTION OF WORK.
New Electrical Meter
Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit- check all that apply:
_Mechanical
Electric
Gas Tank
Plumbing
Total Sq. Ft of Construction:
Gas Piping
Sprinklers
_ Shutters
Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Pitch
Cost of Construction: $ I I ��'jYu Colo Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE: I CONTRACTOR:
Name LnK.L«,L( ii.. linikal he46 ,sl Chura,
Address: toSta-18
City: State:\
Zip Code: Qy to5 Fax:
Phone No.-1��-�1toS- Mi—I
E-Mail: '� Pry-,�ICL1t0•ti1�c.'C-�'�r
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name:
Company:_; rCVJ Address: 5,0�) 5v:•'�Utv.CAhr4 Yiu->I b
City: )(Ll(n CAN State:_Il_
Zip Code: 544CJ Fa�x: 2 -1-12 L3- I I I9
Phone No 1-1Z- Z3'L-! li/
E-Mail tV\Doe_4fk4-iyir -LW►'\
State or County License ZL— 13
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.