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HomeMy WebLinkAboutbuilding permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: -y t' ° -" Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential X 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Address: Property Tax ID q: Site Plan Name: L Ste, Q�Q Proiect Name: DETAILED DESCRIPTION OF WORK: �A t>o, 7U vVsi�! ]Rca2\ New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit- check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters electric _ Plumbing _ Sprinklers _ Generator Total Sq. Ft of Construction: Cost of Construction: $ q,52)V Sq. Ft. of First Floor: Lot No. 02 6 Block No. Windows/Doors _ Pond Roof Pitch Utilities: _Sewer _Septic Building Height: OW N ERAESSEE: CONTRACTOR: Name U), ,,. Ad Name: 0.,C\.c�r Address: �c Company: A�cy cacti\ c-,J 'jp_ Ro hs"., l ync City: n ; y � I'e State: Zip Code: 3 4 4' � 3 Fax: Phone No. 30;�_- L4(,__� — -700 C) Address: & cl A] FI i . s D f City: Po r �- S 3- La, Zip Code: 3L4 9 ce-3 Phone No '7 -7 3 i i .v State: /=L Fax: LA 3- -75-$5_ E-Mail: 1) L _cL,i }zn, 4,c. � r e i 6. 4 rrc �k. Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail 14(LQ �?Ocu L S �L �6✓ 4a 1 - �>~n State or County License C P L f `{5- -7 3 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.