HomeMy WebLinkAboutBuilding Permit Application E\V
All APPLICABLE INFO MUST O&MPLETED FOR APPLICATION TO BE ACCEPTED
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Date: a\\ %�Go nN Permit Number: �I
` '` F Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: DEMO/ REPAIR
PRC9PQSED IMHPR�VEMENT LQ;CATI ON:
Address: 13507 NW COCO PLUM CT
Property Tax ID#: 4436-601-0028-000-8 Lot No. 28
Site Plan Name: HARBOUR RIDGE Block No.
Project Name:
IAlWES'CRIPTiON OF WC ARK,
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INTERIOR DEMO/ REPAIR
FIRE DAMMAGE TO FRAMING AND TRUSSES IN GRAGE inr 5
TERMITE DAMGE ON EXTERIOR WALL OF MASTER BED ROOM AND BATH WALL MY
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New Electrical Meter Second Electrical Meter (Affidavit required)
COTRCCTICN INFORMATION g h
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Additional work to be performed under this permit—check all that apply:
_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:$ 2,000.00 Utilities: —Sewer —Septic Building Height:
3V11�IERLESSEE x CON 'RACTC}( rd h
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Name JOHN B CLOUGH b Name: �. .. „ JEF
FERY J PAULY
Address: 1316 LANCEWOOD TER Company: JEFFERY J PAULY CONSTRUCTION INC.
City: PALM CITY State: FL Address: 2420 SW MAPLEWOOD DR
Zip Code: 34990 Fax: City: PALM CITY State: FL
Phone No. 410-371-8191 Zip Code: 34990 Fax:
E-Mail: jbclough@yahoo.com Phone No 772-263-8268
Fill in fee simple Title Holder on next page(if different E-Mail jjpcbc.jp@g mail,com
from the Owner listed above) State or County License CBC 047770
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.
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