HomeMy WebLinkAboutjohnston 2All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
ante:
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, sari' Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-lS78
PERMIT APPLICATION FOR:
Commercial
PROPOSED IMPROVEM-ENT,",LOCATION.0
Address: e,
46 Property Tax I D #:
Site Plan Name:
Project Name;
DETAILED DESCRIPTION OF WORK:
4.
e
New Electrical Meter Second Electrical Meter,
CONSTRUCTIONINFORMATION:
aa.
Additions! work to be performed under this permit— check all that apply:
Mechanical Gas Tank _Gas Piping _Shutters
AW
Electric
!' Plumbing
Total Sq. Ft of construction:
Cost of Construction: $
_Sprinklers
Generator
Sq. Ft. of First Floor:
Residential
Black No.
Windows/Doors pond
Utilities. Sewer Se ic
Vv11111p__
Roof Pitch
Building Height:
OWNER/LESSEE:
0
CONTRACTOR:
Nam
Name:
I 121
Add req 0
Company: r
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City: +
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State:
Address: ++
Zip Code:
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� Fax:
City: "�4
State:
df
Phone No.
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Zip Code
Fax:
E-Mail:
_
Phone No 7e- ;9
Fill in fee simple
Title
Holder on next page if different
E-Mail60P&A�
from the Owner
listed above)
State or County LicenseQ
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,