HomeMy WebLinkAboutPermint App 5All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ,?O Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
Commercial Residential
Address: J 3 eJ C<¢ �C,.c
Property Tax I D #:
Site Plan Name:
Project Name: c7
New Electrical Meter Second Electrical Meter
Lot No__
Block No.
Additional work to be performed under this permit- check all that apply:
_Mechanical _ Gas Tank —Gas Piping -)(Shutters Windows/Doors _ Pond
_,, Electric r Plumbing Sprinklers — Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ iz Utilities: —Sewer r Septic Building Height:
.0 m
� '
Name r'Cjv
Name: � a_1 "C
Address: LEV m Od-C al,
City: . d°, B✓C State:
Zip Code: 3 Fax: A
Phone No. 771- U�
Company: COwi .,l of ,,
Address: 4.23 d Lv',r
City: fl 00tClfr _ _ Stater
Zip Code: d Fax:-
E-Mail:
Phone No 77.2- t f; -o?/
E-Mail TO ,kA;e___Q �/1ide,,..(=or,•i
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
T_
State or County License a sI5-0J?
..:a...� v%W"aa.uaiwll is &JWU of mote, a RECORDED 1wrice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:O Permit dumber:
IL
i= I1100M,
`:ry
Building Permit Application
Planning and DevelopmentServices
Building and Cade Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
Commercial Residential l
rmVvvza to Inf11 ROVEMEW10 .1 I a
Address: t� o�is C-/ to
Property Tax I D #:
�G n� h
Site Plan Name: i1!
Project Name: lo! v
IDETAtI» Ci #DESCRIPTION OF Wb:kK:%
A. ,?7ti 5 Bf .4fLds.
New Electrical Meter Second Electrical Meter
QNSTRU€ rI N 1NFOP, "'ATI N.
Lot No.
Block No.
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:
va
Cost of Construction: $
OWNER/LESSEE:
Sq. Ft. of First Floor:
Utilities: —Sewer _ Septic Building Height:
Name rr' v
Address: reJZ mofs ,
City: D i e,/C State: )Y-
Zip Code: J Z 9 12 Fax: ,4
Phone No.
E-Mail: A
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: si "L
Company: C0q,#ter' of .,
Address: 6,236 fl 4,e,'e a1666
City: "e Stater
Zip Code: d Fax: 7 ?.7- yX /-A&3-
Phone No 77,2- ;/6/-a//64
E-Mail TO Uj&4 Q Aoo ,._�or✓�
State or County License a S/,S"08
If value of construction is 2500or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.