HomeMy WebLinkAbout3254 LAKE SHORE DR permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �J 172 Z Permit Number:
S`t, LCCCLL
i= c Ib `� �- _ 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: _. (�Owa C
PROPOSED IMPROVEMENT L CATI N:
Address: �)Z�Su i'_ CLVIC
Property Tax ID #: 1 LA Zf� c)c) ?> Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK: ;ram ,.,i _„ exn.I%rvfz'n _\„_,
New Electrical Meter
Second Electrical Meter
I CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers
Total Sq.-Ft of Construction:
Cost of Construction: $ 1!5 00
Generator
vtWindows/Doors
Sq. Ft. of First Floor:
Roof
_ Pond
Utilities: —Sewer —Septic Building Height:
Pitch
OWNERf LESSEE:
CONTRACTOR:
Name C i m
Name: tSoaL P-,5zk,,,c,_
Address: C2&
Company: A+-1 rcAn
City: kS T&ry C21,-t/C State: A
Zip Code: C4 Fax:
Phone No. Q�61q —
Address: Jr-)H^ cl
City: � r-,L_ L-uGL-t Stater
Zip Code: 34L-5Z Fax:
Phone Nol425-!'Z)
E-mail: nuvc 111,21 qci & !)w ui. (aw,
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Cx f r-(3-1c)cw—a �r cAc,c4r- oa VVICtI 1 .6-�q-.
State or County License 7 S 3 btu
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.