HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: L- cx � �;)-! Permit Number:
1�1ro L0 nCEE - RECEIVED
o 1 U JAN 21 2021
Building Permit Application Permitting Department
Planning and Development Services St. L County
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: (7
ERR®POuEIM RO / M` NTLO
Address: —'� 3Yg`5 2"
Property Tax ID#: 3 Lot No.
Site Plan Name: n Block No.
Project Name: 1/.e. IL) ewl'A g01
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New Electrical Meter Second Electrical Meter
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C01STR � Tf'OI F®R AEON 4 h S may`
Additional work to be performed under this permit-check all that apply:
_Mechanical _Gas Tank —Gas Piping _Shutters _Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator jZ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Utilities: Sewer —
Cost of Construction: $ — Septic Building Height:
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Name 2� 1_ Name: CZi
Address: P �j/ Compandn Lea&k
City: �' .�•�' State: Address:
Zip Code: Fax: City: State
Phone No. Zip Code: Fax:
13
E-Mail: Phone No -
Fill in fee simple Title Holder on next page (if different E-Mail AV A
from the Owner listed above) State or County License 1-3
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.