HomeMy WebLinkAboutPunta permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
nr
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:
Property Tax ID
/0 ` Q61
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Lot No.
Site Plan Name:
Block No.
Project Name:
DETAILED DESCRIPTION OF WORK: I
New Electrical Meter
Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ s Tank —Gas Piping —Shutters ^Windows/Doors —Pond
Electric Plumbin Sprinklers Generator Roof Pitch
— — g — p — —
Total Sq. Ft of Construction:
Cost of Construction: $
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name t)✓44-'
Addres '�n
Name: '�
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Company: n
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City: °�LJILV State: I-,"/
Zip Code: r Fax:
Phone No. 7?
Address:
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City: eia2e, Stater—)
Zip Code: >>I�-7q
Phone No
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail i
State or County License
If value of construction is 2500 or more, a RECORDED Notice of Commencement is requirea.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.