HomeMy WebLinkAbout7500 BELLEAIR AVE, FORT PIERCE, FL. 34951 PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: OC4)Ip Permit Number:
I . WCfl1E
O
ILN
p 0 ° a 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:
PROPOSED IMPROVEMENT LOCATION:
Address: _ L ! - r-c.r+ c 0 FL- t0Is i
Property Tax ID #: ( 1 { - (0 + % 55I - DG C) - 5 Lot No. c�vide
Site Plan Name: L G, � - ,- ir(rc�IjLh,4mlock No. 1
Project Name: ' * bLC''` 1qo.
DETAILED DESCRIPTION OF WORK:
ker
New Electrical Meter y' Second Electrical Meter ru
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters Windows/Doors _ Pond
_ Electric A, Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ it _77-, rr Utilities: — Sewer _ Septic Building Height:
OWNER/LESSEE:
Name i v, -nc,0
Address: Il ,
City: Toff 6-rcL State: Fe -
Zip Code: _zclq5 / Fax:
Phone No.2--
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: I r V - lP r>
Company: a OL,a`V-1
Address: kD(45 RAkj LZ C +I 2CCU E-1 \ 1
City: 12(- r � 'JQ� VJ Utc i E state:
Zip Code: Fax:_:17-2,_97I -::6
Phone No - �� I ` C'44i{
E-Mail,�?r"rtit�f5�1�1etn��CcvtL'liv+.1)xu State or 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.