HomeMy WebLinkAboutBorregard permit app (2)ALL APPLICAB E INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Oi i Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division /
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential ✓ _
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: J&o
Legal Description: Q liye r- %rk- in t+ 91- Par+ C
Bl IG 1 K of 13
Property Tax ID k: tg4l -1 ,c -% Q Lot No.
Site Plan Name: Block No. 78
�1I�e r�
Project Nam(3 e: orre a r IL -ZocQr
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove eAIll . � sh11 << foo F d@o-jc� roof
Iro-11lk ntw SeCknn metal f0C1 .
CONSTRUCTION INFORMATION:
Additional wor to e e orme under t—checkispermit a appy:
❑�GasTank []Gas Piping ❑E Windows/Doors
HVAC _Shutters
❑ q[1 Electric ❑ Plumbing ❑5prinklers ❑ Generator Roof Fffi_� Roof pitch
Total Sq. Ft of Construction: l ,� g 10 S Ft. of First Floor:
❑Sewer ❑Septic
Cost of Construction: $ (w 811 Litilities:q Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name 1 re
Name:
Address: 1540 MIFE.
Company:
City:Vt)fA S,l-- AACA State:(,
Address: %
City: rr S t% Stater
Zip Code:. NeYR3 Fax:
Phone No.:j jj - 9 7 3 - 644I
Zip Code: � iGlSZ Fax:
E-Mail: C _)DoweAari4P s Olhm .Corn
Phone No. -
E-Mail:
FIII In fee simple Titre Holder on next page ( if different
from the Owner listed above)
State or County License: -
If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required.