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:
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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.