HomeMy WebLinkAboutBuilding PermitAll APPU B INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: (t 1Z 2..l Permit Number: --------
Planning and Deve/apment Services
Building Permit Application
Building and Code Regulation Division Commercia I ✓ Residential
2300 Virginia Avenue, Fort Pierce FL 34982 ----------
Phone: (772) 462-1553 Fax: (n2) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Lot No .. ___ _
Site Plan Name: ________________________ _ Block No. __ _
Project Name: ________________________________ _
DETAILED DESCRIPTION OF WORK:
~sti,ro wifu 1.5 Kw h.wt.
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
Electric _Plumbing _ Sprinklers Generator
_ Windows/Doors
Roof ----
Pond
Pitch
Total Sq. Ft of Construction: ______ _ Sq. Ft. of First Floor: _________ _
Cost of Construction:$ J.\-irol). {J) Utilities: _ Sewer _ Septic Building Height: ___ _
OWNER/LESSEE:
Narne...µOa.J~.:h~-.-'-1.....,....._."""'-L------
Address:._,_.,.."'.'-""><J>'--'--'=cu.>"---------
City: fnr--1:-Ptt((f State:&
ZipCode: g,491q Fax: ______ _
Phone No. 112:~ 2AO--U (, g
E-Mail:. ______________ _
Fill in fee simple Title Holder on next page ( if different
from the Owner Usted above}
CONTRACTOR:
Name:.11iaJ(dl.LJ~~'/.JI.,.._ _______ _
~:;:e:~=:a1~=itfg/tf.W15 JM
City: nit Piu-ct.. State: It..
Zip Code: ~I Fax: JJ~-JJi,r,-3737
PhoneNo11l,-:L\(.,(.1"l41
E-Mail boyt,-~ t, '-f"K!OO. CQ(l'l
State or County License CACI jl ~11! (p
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC Is $7,500 or mare, a RECORDED Notice of Commencement is required.