HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: l I Permit Number:
RECEIVED
APR R21
- 1 1
Building Permit Application Permitting Departmen'
Planning and Development Services St. Lucie count',
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: Ce.ct&Y
PR PQSEDIMPROVEMENT LOCATION , a,,,r, �
I � 4s� a �'rl ro Srwau. s JN`i 6� aty. 4+L
Address: L��V,(
Properly Tax ID#: 3 9(9�L "�Sn .S ���1! � �� Lot No. _
Site Plan Name: Block No. _
Project Name; 6
s
D TAILE,D DESCRIPTION OF WORK L �x a� "e'
.:.. 1. .:
New Electrical Meter Secon Electrical Meter f7 �}.-�J
n,v„oin.✓,.. r.xr�. _& t,x dt„a.,,n,,,z .; ,1,. r � A «_� 'l,v.a.a � ,..vm., 4�, f cv„ ..,� .nyi'�., i� 2:" ^"r' ,,.5'„
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: (7�� Sq. Ft. of First Floor:
Cost of Construction:$ 'O`-'a Utilities: _Sewer _Septic Building Height:
DINNER/LESSEE r7 y�, r a IT, k
Name 1> MMI c*,-,,[, g LA_ Name: ' F
Address: q6�6�I � � �ogI(�— F'(,q&_ Company: -E-eg,,.I\,,� �;�Ti`- GTI�� �LC
city: F�) � �/+ �J State: Address: �]0
Zip Code:_ L( �, Fax: City: 11 6Q atz, State:
Phone No. 'l .5-ii- Zip Code: .A49 `L Fax:
E-Mail: Wk- Phone No / a,416
Fill in fee simple Title Holder on next page(if different E-Mail -&Q r
from the 0w'ner listed above) State or County Licensee
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.