HomeMy WebLinkAboutstephinson pg 1All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION T0 BE ACCEPTED
Date: 1 -U1 Permit Number:
Building Permit Application
planning and Development Services
Building and code Regulation Division Commerctlal
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Residential ri
PERMIT APPLICATION FOR:
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Address: \\OCD S C)C~ Itr i-\l
Property Tax lD #: `S\|-|O\ -C)Da` -OOC) ~t4 Lot No.
Project Name:
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New Electrical Meter Second Electrical Meter (Affidavit required)
Additional work to be performed under this permit -check all that apply:i Mechanical Gas Tank Gas Piping Shutters Windows/Doors
Electric Plumbing _ Sprinklers Generator Roof
Total Sq. Ft of Construction:
Cost of Construction: S
Sq. Ft. of First Floor:
Utilities: Sewer _ Septic Building Height:
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• - . I 1`-IF I .Name: h`}t]lL\\ t\aq±ti\\{
Address: \qu uE_ f`\vv` T€jr`r company: frone.a+Air , InrAddress:3`11&j)ih\mciL .£he\ fu .City: Jc2jr`sreA ap:cAf,I State:EL
city:fh\w` 'Jiul I sitate..iZip code:3uqs7 Fax:PhoneNo.Sto\.age-qsql
Zip code: 2uqq'O Fax: 112.. I,31-//lA
E-Mail: Dch+.. SJcj]hinfcn a rorfuro.c+-n/+Phone No 112,- 2,ZZ~| I I L/\E-Mail rnA) ® hamechiri.r`L .fort-Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)State or County License riar _ ^ Sfrso£
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 js required.