HomeMy WebLinkAboutBuilding permit app, updatedAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Li L L--
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Permi Number:
Building Permit Application
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:
Address.) K-) r
Property Tax ID #:
Site Plan Name:
,_j
Project Name:
f
DETAILED DESCRIPTION OF WORK:
Commercial Residential
%-41 3 Lot No.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed
Mechanical Gas Tank
Electric
Plumbing
Total Sq. Ft of Construction.
Cost of Construction: $ P�
under this perm"It — check all that apply:
Gas Piping � Shutters
Sprinklers
Block No,,
Windows/Doors � Pond
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: � Sewer � Septic Building Height:
OWNER/LESSEE:
CONTRACTOR•
*,/)l a m e. /41 4rJ
N mi }
Address&//-o) 4Z-1"J
4elo)ZCompany:
1
city:., State.
Address*.-; -;V .I .r... el 2 �
Zip Code:'�3State:
rt ,
z i p C o d e.':"�1 V Fax.
E-Mail:
Phone No Harr ,+ •
Fill in fee simple Title Holder on new page if d
vV
-ri Lz. e' /
from the Owner listed above)
State or County Licens<'./J;
If
value
of
construction is
2500 or more, a RECORDED notice of Commencement is required.
if
value
of
HAVC is $7500
or more, a RECORDED Notice of Commencement is required.