HomeMy WebLinkAboutduersten permit app 1All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3l17- oZt Permit Number:
91T. WKE:
Y Building Permit Application
Planning and Development Services
Building and Code Regularr'onDivision Commercial Residential
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
P
Address: 3058 Art,) /Ri9A�-G4✓4-� 35q a
Property Tax ID #: 1Y `1aJ-- 70,3 — O
Lot No.
Site Plan Name: Block No.
Project Name: buaz--->ra✓ �Gvo.�i � .✓
c✓e �. ,fir-'��,�� pa-
Al- d,q_ ; Gv-�--r s��P
New Electrical Meter /I%d Second Electrical Meter IV D
STRUCTION INFORMA
Additional work to be performed under this permit -check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 061,
O NERAESSEE:
Name c.e`7eST�.J Gv o
AddressdSe Al o✓ G
City: � G. 2-y: State:
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic
Zip Code: 9"T D Fax:
Phone No. • oZ - �-� `.
E-Mail: -Z06 mogr " %
Fill in fee simple Title Holder on next pare ( if different
from the Owner listed above)
CONTRACTOR:
Na
Building Height: _
zee -
Company: D--. 4 G-
Address: [ _cam F_ Scat TJff
City: ; �c r1 •'% State
Zip Code: 't4 N Fax:
Phone No t) zzu
E-Mail
State or County License__QcP 77
If value of construction is 2500 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.