HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:_ S'(col 21 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential r/
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR: --Paii' Lu c-a S
PROPOSED tM,PROVEMENTjLOCATION - y
x. . .,�
Address: Q 9 q 3 M ecJow oocJ Z> ri ve F- -- l,-rcc FL, 349 51
Property Tax ID#: 1 3 oZ '� �p 2^ C�O(3'7, OUCH - �' Lot No.
Site Plan Name: tAeL2&woacO UA"► Two Block No.
Project Name:
DETAILED DESCRIPTION OF WORK
, C e ,r\ Z-3.0 FL LL O t4 Cry'
New Electrical Meter Second Electrical Meter
CONSTRUCTION:FNFORIVIATION ":. � `, � ;'�' ,
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:
v2
Cost of Construction:$ I OO Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE } L .CONTRAC "OR <`
Name a.ul LA Cra A Name: dI
Address:94'13 m ridowOod Zr. Company:ttctJJACt,Y1 LJXOO SCf'een i r `LL�•
City: ply-(x_q_ State: Address:,,)39`j
Zip Code: 34 q S I Fax: City:F-- PW_fL,_-e State: FL
Phone No. 1-1 -- L4'7 3- 34?$ Zip Code:31J q n Fax: 772-4 (a l-5?11`1
E-Mail: Phone No 712- 2 1 (.o-1331
Fill in fee simple Title Holder on next page(if different E-Mail 110,�c.fn s1 2 39 4 @. q rnn C6 con„
from the Owner listed above) State or County License��}U 3
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.