HomeMy WebLinkAboutcramer permit app. page 1 All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number.
L`L LC!cLL _
Building Permit Application
Planning and Development Services
Building and Cade Regulation Division Commercial Residential Y/
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: ?tf 6_5__ U-s'4;4w,0 0 � a uze J F,dine 3y 9 S1
Property Tax ID!t: Lot No.
Site Plan Name: Block No.
Project Name:
MA&M DESCRIPTION Of WORK:;
New Electrical Meter Second Electrical Meter
CONSTRUCnON INFORMATION:
Addi onal work to be performed under this permit-check all that apply:
M_ echanical —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 Constructiom$r t�y0 d, Utilities: —Sewer —Septic Building Height:
OW NERAMEE: : CONTRACTOR
Name A4 1 'a dome a Name:
Address: 9D0S U&Si4rd inl � Company: L hC s t
City: 4;AJ: &M State:, Address: 51dAT 'u.
Zip Code: 34I94-/ Fax: City: pitrce- State: -
Phone No. 97,a -3J?- e7 7 A Zip Code: 39gq I Fax:?124dr 91?k:7
E-Mail: Phone No 112e:!9A[• N[�F I
Fill in fee sample Title Holder on next page(N different E-Mail bD�1I .Jn p`tf�. ►4�: tlri
from the Owner listed above] State or County License g 91 21$(Q
if value of construction Is 25OO or more,a RECORDED Notice of Commencement is required.
if value of HAVC is$7,5W or more,a RECORDED Rollie of is required.