HomeMy WebLinkAboutBuilding permit applicationAll APPLI Lf INFO MtlS'F Be CoMpLLgED FOR AppuCAT*N T() ICE ACMPJrED
Date: } Perm it Num bAe:
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- �' f B u [ding Pe rm it Appiicat ion
Ma"irrg or d Deuefcprrerrt _�erWces
Budding CM0 Code ftey otkv DjWsi4ri commercial Residential _
2300 WF47imc? J vame, Foot Pierce Ft 34782
Phone: f 777 M ?-1553 Fax: (77)j AG2-1578
PER M IT A PPLI ATI ON FOR " al
? PRO SED IMPROVEMENT [ 4T«
ProperLyT x IO `1 4 li Lot No. f
Site P40 Namar
DEMLED DESCRIPTION OF WORK-
- I - .11
New ae-C MCA A+leter Sccund Hearical Mew
CONSTRUCTION INFORMATION:
Additional work to be performed Urticj�r This permit - ch-eck ill that apply_
_Mechanical _ Gas Tank _ C as Piping _ shutter's _ Windows/Doors _ Porad
Electr le _ plum hing _ SprinUcc s _Genermr Roof pitch
Tamil 5q_ Ft cif Construction: _ Sq. Ft. of First Floor; _
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Cost of C Mt�ljort: $ L, ubtltrfl: _ sm-er _ Septic. Build-ing Haghrt
OWNERAESSEE:
Address; 14 01 �JT
CrL,,, LL1 � j - e, Sty:
CONTRACTOR:
Zip Cnda: _ aj Fax; i t�; i _ � I
Phorm dip `
Fill in fe# simple Tale Holder on non pap [ if dFff rent E-MaiE_ � .•v.
fmm the Owner fimad ab ) State or County UcenK_�
If Va]u a Of "hnstruction it Z5oa or r ank a FiECOEiDM "ft 41 CoMmencernerrt is requ irk. -
1M wwlu-e M HAVC is $F 9M OT mom a RECORUE Nffdce of Farr m4ricerpwrt is rrquir&C1_