HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:3114� Permit Number:
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- '- Building Permit Application
isommingaM Development Semi
eulming and code xaguwtmn Dimia, Commercial Residential
23M Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax (772) 462-1578
PER M IT APPLICATION FO R: G0.✓P/a}Q.
PROPOSED MPROVEMEI LOCATIO
Addressl ktrT ilca" tell
Property Tax lU p'. c5gr 7 "Q7 07 1 Q 0(l Q
Lot No. Z
Site Plan Name:
Project Name'
Block No. -i
DETAILED DESCRIPTION OF WORK: YC Q OrafArlrmek
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New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
_Mechn ill _Gas Tank _Gas Piping _Shutters .iLVAndowk/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator _Plot Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ iiGO Utilities: _Sewer _Septic Building Height
OWNER/LESSEE:
CONTRACTOR:
Name licOl =v yyirr
Name: Front TLe. n
Address: l AQuara 1 ,r
company: — CN
City: T"I-neur r_ stater
Zip Code: 344 F,2 Fax:
Phone Na.(9-7ZI fi R-zOSL
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City: ll SaL 4 LuCl4 Stater
21p Code:^j.3cial 'Fax:
Phone Na Z -
E-Mail:��I'����y�� �y p
Fill In fee slmph THle Ho deronnel rtpagel
from the Owner listed above)
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E-Mail 2�ra:�e�dr ✓�d
State or County Breese Fila
regmr a.
If value of HAVC if $2,500m more, a RECORDED NMIa of Commencement Is rpulred.