HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: r 44 ?r Permit Number:
L iJr� ' LV1"1-"fni Building Permit Application
Pfcnningond DevelopmenrServices
Suildingond CodeReguiationDivision Commercial Residential
2300 Virginia 4 venue, Fort Pierce FL 34982
Phone; (772 462-1553 Fax: (7-7) 46 -1578
PERMIT A PLI ATION FOR:
PROPOSEP IMPROVEMENT 1�}CAT
1.0N:
Address. ` {
Property Tax I #' Lot No -
Site Plan Name: Black No.
Project Name:
DETAILED DESCRIPTION OF WORK:
New Electrical Meter
Second Electrical Meter
�_ Y
Additional work to be performed under this permit— check all that apply -
Mechanical _ Gas Tank Gas Piping Shutters
Electric _ Plumbing _Sprinklers _- Generator
Total Sq. Ft of Construction:
Cost of Const uction- $
OWNER/LESSEE-
Name-JD(
Address
City: State.
Zip Code; Fax:
Phone No. &
€-Mail:
Sq. Ft- of First Floor'.
Utilities
Fill in fee ter
ie Title Haider on next page ( if different
from tie listed above)
Windows/Doors — Pond
— Roof Pitch
Sewer _ Septic 130d ing Height;— ..
�:..+�.�,e---------:----------- - --
Name: �( ?' h e i
Company' COO L 1916 AI
Address: 0 t _
City, borT Pterce LL Stater
Zip Code, Fax:
Phone No
E-Mail WrllaO(J Y yHher- co"
State or County License V c ac( i
if value of ron$truction is 2500 or more, a RECORDED Notice of Commencement is required.
if value of HA, C Is $7,500 or more, a RECORDED Notice of Commencement is required.