HomeMy WebLinkAboutappicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Da to Permit Number.-
L7PeVP 91r7
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:
Building Permit Application
Commercial Residential
S)70** 4-1 Lk
PROPOSED IMPROVEMENT LOCATION:
Address: V th Arl C% e��
Property Tax I D #-a 3 qo;t C) 3 COZ) Q�5
Site Plan Name: --
_ P
Project name: P�pl
-- ---- -
DETAILED DESCRIPTION OF WORK..
- - ---------- PrIe ec kit
I
636
5'Efi
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additbi al work t
Mechanical
mmm�
Electric
o be performed
Gas Tank
ammmmmr�
Plumbing
Total Sq. Ft of Construction:
¢ 00
Cost of Construction: $ �J�J
OWNER/LESSEE:
Name A
Address:
City:
Zip c
ode: pia
Phone No.,%
E-Mail: fir,
low
Fax,.
under this pei
Gas
Spri
it check
ping
bklers _
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height -
CONTRACT 1 0 R
Name: Os�
Company: s 4s� Z�fy+'��
all that apply:
Shutters
Generator
W'Indows/Doors
Roof pit&.
State: �- Lw. I Acioress: -7vi Y-Le %auc��
city��f.f/5*a�
Zip
r
Phone Now
W
F'1'11 in fee simple Tithe Holder on next page i if rrefen; E -IYId i I
r � V. %..-e w ��-� �"P
r
from the Owner listed above) State or aunty 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.