HomeMy WebLinkAboutBuilding Permit Application (2) All APPLICABLE IN 0 MUST SE COMPLEX ED rO>APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building Permit Application
Planning and Deveiopment Services l
Building and Code Regulation Division ".Cili'II? ercia Re-sidei'stia"
2300 Virginia Avenue, Fort Pierce,7t 34932 s
Phone: (772) 0E2-1553 Fax:(7721462-1578 �
� r PFRM€T A;'i L;CATION FOR:
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1 PROPOSED IMPROVEMENT LOCATION: -
( Address: f l
Property T ax I D#: - _ Lot No. 6
Site Plan Name: Block No.
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Project Name:
DETAILED DESCRIPTION OF WORK:
01)
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New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION: _
1'-dditional work to be performed under this permit—check all that apply:
5
ioechanical Gas Tan l: Gas Piping Shutters ,,C"
—Electric —Plumbing —Sprinklers —Generator _R?oof �Pitch �
Total Sq. i=t of{onstruction: Sq. Ft. of First Floor'. w
i €}S`i of Construction: $ "� t�] `—�— Utilities: —Sewer —Septic B siidiing i eis,Eit:-
" O NER/I_ESSEE: j CONTRACTOR: -�
Na€TleII ! Name: 7 r�
Address: �� � � C L4 I
'� w —. Iff. - ',
i s 1t�1; T6' State: idress: t�f't t �:
Zip Code: :� a; -- _:tit: z_ 7. - State:_ }
Phone No. "JP ,ode:
E-tViail: � ' Phone No I,,
Fill in fee simple Tide i€oider on next page (if different l:rlail � J��[�_[�� � ►'c�C�a �`�
I f from the Or over listed above) State or County i..icertse �if value of construction is 23DO or more,a RECORDED Notice of carnmencerner;i is mciuNA.
it value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
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