HomeMy WebLinkAboutBuilding PermitAll APPLICA INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: • :J.. 2.. Permit Number: --------
Planning and Development Services
Building and Code Regulatian Division Commercia I ____ _
Building Permit Application
Residential---=-✓---
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PropertyTaxlD#: ________________________ _ Lot No .. ___ _
Site Plan Name: ________________________ _ Block No. __ _
Project Name: ________________________________ _
DETAILED DESCRIPTION OF WORK:
J<lc sur5:te,rn wl:th 10 vJ heat
New Electrical Meter ____ Second Electrical Meter _____ _
I CONSTRUCTION INFORMATION:
A~nal 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. ~f First Floor: _________ _
Cost of Construction: $ {e I ISl5lJ. CfJ Utilities: _ Sewer _ Septic Building Height: ___ _
OWNER/LESSEE:
Name.-'--'"'Yf-::.1--""'.£'9~.-~rr----,.---,---::------
Address: D '(
City: f'.O{t '.Pi<.r Ct, State:~
Zip Code: 3lj4'5 I Fax:. _______ _
PhoneNo.j1;l.-7J1, J\o(,o
E-Mail:. ______________ _
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: Mithyl . BoyiP.
~~::e:~~:~a'ti~~~~~ Ju,
City: nit Pkrce.. State: It.,
Zip Code: ~I Fax: J]:1-J.U,-3137
Phone No 111,--LjC, [ • J.114 I
E-Mail h,~e,,C.W. @.\.la,hoo. 11nm
State or County License r CACI 11~1'8 (p
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.