HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: to -;) -9L Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential 'x
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: �X C n �&i L_L o l
Property Tax ID #:
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
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New Electrical Meter Second Electrical
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
(Affidavit required)
Lot No.
Block No.
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: $ 3 7 \.r5. C7 CS Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name
Name: ,` m5Q- C_ t�ineu ,O\%
Address: 7 nc�nAc� i _�Oq
Company: CO-mpbc:Al ( cr Ln nG U C
City: P,c:5 _.cr rS�. l ..�s'eo 5tate:�_
Zip Code: 3 `lSd Fax:
Phone No. >7�c�=� I. a- 1 3S 2
Address: Sc%fS1� ,rtJ nno C'%ram/P
City: L34. Lwi! State;
Zip Code: 3��/ �3 Fax:
Phone No %'7..� � .3a 1' (Sl -7
E-Mail: d bn C C�'S �_.rnl�cT o COe�.
elt. ,
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail /i ' ane[
State or County License CAC /9)Q 2 26
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.