HomeMy WebLinkAboutBuilding Permit Application (2) All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: L �_ Permit Number:
`L LULL ,
c c L c t `-' Building Permit Application
Planning and Development Services f
Building and Code Regulation Division Commercial Residential r
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: �J,6tn J('/ i l' Foi-� A,C/"�r F �� � �'��
Property Tax ID#: -� q 0 I — 6 0-�_ / '- C)) 0 Lot No.-
Site Plan Name: n Block No.
Project Name: �-oo'3
DETAILED DESCRIPTION_ OF WORK:
(�JlifC:_fe � :
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 _Windows/Doors _Pond
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: a jl-y+ Sq. Ft. of First Floor:
Cost of Construction:$ l b Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name F-4 wnrj AJ' y� Name: wlr'A-'n J %0M S�
Address: �jQ�Q S nGia� /Z,t;e/ / Company:: W l JL-J' j&'Jd Cry
City: l� O�it���w State: Ft Address: 6111 Al AV 6,/," J n
�I- r
Zip Code: 3 4 i�! Fax: City: �T Tf 1-(.k _)' Stater
Phone No. k Zip Code: .3�,�1� L- Fax:
E-Mail: Ne Phone No S:L �3!!J0
Fill in fee simple Title Holder on next page(if different E-Mail r-►
from the owner listed above) State or County License S 0
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.