HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Z 1 Permit Number:
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c r N. Building Permit Application
Planning and Development Services
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: Cn Cim-lAQ, 0 0 V_
PROPOSED IMPROVEMENT LOCATION)'—
Address: 'i, I f[7yNLA_)c)pc-A -Avr
Property Tax ID#: ,�LI Z "� h� C�?�Z 7 t�[�c� S Lot No. _3-
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK: IO
i ti
s�ouy'
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
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: Sq. Ft. of First Floor:
Cost of Construction: $ Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Name: IS owv_T:6 G"
Address: r Company r
City: P_by-l- State:kL Address: '-"' P o•- 1
Zip Code:2;, 4co5 Fax: City: J2,L--k Sat al (_uci-e Stater
Phone No.(_�42l 2 8 i —Z.3Li1( Zip Code:�!3&7 Fax:
E Mail: l . LOY" Phone No��-tea) �� f� 5y-z 4
Fill in fe simple Title Holder on next page( if different E-Mail G/eC 4 CIE- C41/.ems,
from the Owner listed above) State or County License
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.