HomeMy WebLinkAboutBuilding permit , pg 1 updatedAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I � I�
3 Date: Permit Number: l v
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U c Co rs Q c --- Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: �> � Q. OA►_�
PROPOSED IMPROVEMENT LOCATION:
Address: � � nnkA EcAp n (zC -A.
Property Tax ID #: LQQD- �('L{ $- ��7 • �� Lot No.
Site Plan Name: Block No.
Project Name: _)le IFUM_ lllz�i
I DETAILED DESCRIPTION OF WORK: I
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: i
Cost of Construction: WE
pa
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name
Name:
_
Address: 7( e, 0 f' a ��
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Company: Eleir-A ('j C
Address:b'Gj SIAD
City: C c��C State: CJ,—
Zip Code: .S 1 Fax: AJIA
Phone No. 7 72 uG% - (, S%
City: Qn, Stater
Zip Code: sqRaS Fax:
Phone No')')-)
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail ke CJ
CCj'!Q
State or County License E
IT Value OT construction is Z500 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.