HomeMy WebLinkAbout6009 TANGELO DR - Permit App. (2)All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2 f 9 ailtil Permit Nm
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�'`4�r t Building Permit Application
Planning and DeMopmen t services
Building and Car ReguioEon Dialaoa Commercial Residential.c
23W Viryinia Avenue, Fort Pierce FL 3098$
Phone: pnl 462-1553 Fax: p)zl asz-SS]B
PERMIT APPLICATION FOR: GUraer rlooa�
PROPOSED IMPROVEMENT LOCATIO .
Property Tax In pLot NO,
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Addalonalwmktabeperformed under this permit— Check all that apply.
_Mechanical _Gas Tank _Gas Piping _shutters xs Windows/DOOrs _Pond
_Electric _Plumbing _Sprinklers _Generamr _Roof Pitch
Taut Sp: Ft of ConStructm Sp. FL of First Floor:
Cost of Construction: S local. nn Utilities: _Sewer septic Building Height.
OWNER/LESSEE:
CONTRACTOR:
Name ex... W ii IN
Name:
Address: Aeon Piked f to e..
Company.a-Trta. pJ�. wee.+
city: C.a o....fe state: 01
Zip Code: aY A A, Far:
PboneNo.(:iiai J!a_aaet
Address: 4e.Na !!es..aa. a...
City: 11i r. L Lund State:-
Zipcape: 34"? ' Fax:
Phone Nol"LR.) %7dL-s;Tf
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Fill In fee simple Tale HoMer On next Page Df different
from the Owner listed above)
E-Mail
State or County ensefRybA
egme o.
If value of HAVC is $7,500 or more, a RECORDED all of Commencement Is reaulred.