HomeMy WebLinkAboutBuilding Permit Application AN APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED // __ C�
Date: Permit Number: � �� n' d lV y 1
BLUEBEAM}
` Budding Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:
Address:
Property Tax ID#: 1 '�C>1 ` 6 o 3 - o)93` two -i Lot No. 16
Site Plan Name: 9-AD Block No. 23
Project Name.
Rlt� 1 t1 v!Yi c cry � S� tD ?bLv c ; _710 E cc n S C
New Electrical Meter Second Electrical Meter
. . d 44
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:
Cost of Construction:$ ,5 Utilities: _Sewer _Septic Building Height:
ge
PON
,,S x- "•lr�„4«. C' S�'.,, ,�„ e
.Name 10a\b �-*p Name: T..�
Address: "110S L004( 0-0 RS. company: ` '(,( NJ
City: r I E-9 c( Stater Address: )6 dl\ t k-n tclote
zip Cod�S1 Fax: city: Stater
Phone No. `61 8 3 L33 Zip Code: IV Fax:
E-Mail: )' eta( Ct\tG(- V a li 4`,ZO C-3M Phone No Q- 2 3 - ' D
Fill in fee simple Title Holder on next page(if different E•Mail d'r ). &%<E C4tiS. c3M
from the owner listed above) State or county License SCC- i" a i S t-7
If value of construction Is 2500 or more,a RECORDED Notice of Commencement Is required.
If value of HAVC is$7,SOO or more,a RECORDED Notice of Commencement Is required.