HomeMy WebLinkAboutBuilding Permit Application (2)Sr. Luclg
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AIIAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2^2/'2/Permit Number
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Building Permit Application
Plonning and Development Services
Building and Code Regulotion Division
2j00 Virginia Avenue, Fort Pierce FL 34982
Phone: (7721 462-1553 Fax: (772) 462-1578
Commercial Residential X
Address 070t f o",,#do €o h 'ho /,3 i7
Property Tax lD #:
Site Plan Name:
- Eor- 0o/o - ooo-T Lot No.
n lu,Block No.
Project Name lo?
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New Electrical Meter \Second Electrical Meter
CONSTRUCTION I N FORMATION:
Additional work to be performed under this permit - check all that apply:
_Mechanical _ Gas Tank * Gas Piping _ Shutters _ Windows/Doors Pond
Pitch_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof
Total Sq. Ft of Construction 700 Sq. Ft. of First Floor:700
Cost of Construction:5 I 7OO"* Utilities: ]( Sewer _ Septic Building Heigh t: 2f7
lf value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
lf value of HAVC is 57,500 or more, a RECORDED Notice of Commencement is required.
PERMIT APPLICATION FOR Dero /, f ;o,
PROPOSED IMPROVEM ENT LOCATION :
OWNER/LESSEE CONTRACTOR
Name
Address: 63Of {,t 5/.
City:State:1Q.
Zip Code:
Phone No.,
E-Mail:
Fax
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Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
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Compa
Address .ff
City b state: F/.
Zip Code:
Phone No
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77)- 250- ?7tf
E-Mail m 4 /77
state or County License €8( /2 r/ ? El
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