HomeMy WebLinkAboutSt Lucie CountyAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date.
Planning and Development Services
Building and bode Regulation Division
2300 Virainia Avenue, Ford Pierce FL 34982
Permit Number:
Building Perm it Appiication
Phone: (772) 462-1553 Fax: (772) 462-1578
' PERMIT APPLICATION FOR.
Commercial.- Residential
Address: � � l �J � o k r it tL D
Property Tax I D #: )30 r� " `1 y t- 0 � �' �- ' ° `' 0 ' `� Lot No.
Site Plan Name.: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
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New El ectri ca I Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
Shutters
Generator
Mechanical Gas Tank
Electric
_ Plumbing
Total Sq. Ft of Construction
Cost of Construction: $
Gas Piping
Sprinklers
Windows/Doors Pond
Roof Pitch
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Sq. Ft. of First Floor:
Utilities: _Sewer _ Septic Building Height:
OWNIFEN'TiiACTName .5� �-✓✓ � �:�-v�1 �P;S Name.* � � LJ�-�. � t� �1'o2wwoft-w Al IN
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Address: � �% C.v �. EfZ., IC � Company:- b t \4O �-'7� { e,C+4,3 c.
clCity:L/ 5`0 � C�. State: ✓' Address: `I a MEN"
Zip Code: -� `��( `�S Fax: C;ty; St ate: Phone No.. Zip Code: 3 `� �� ' Fax:
E-Mail: � `� Cs, i�- tvJtf a% t? �r `3 ii ,� L� �i tom. z �""� Phone No 7 ? � � �ci v — 3 c-
Fillin fee simple Title Holder on next page (if different E-Mail b i k �"` � � z� �'^ L � G �"t A `
from the Owner listed above) State or County License r �,
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.