HomeMy WebLinkAboutB+M 606 S Market Permit FrontAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 71ZZIz l Permit Number:
917", L C I19
v "® Q "' Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 6 0 6 S M m ol, e i- Ave, . F_+ P i ecL2' 3q q 5 2
Property Tax ID #: .2 q 3 L? - �, 0 1 - 00 10 00 0 - 0 Lot No.
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
2 pa S \-Nork (,ircy.+.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
(Affidavit required)
Block No.
_Mechanical _ Gas Tank _ Gas Piping _ Shutters r Windows/Doors _ Pond
f Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ U5 b Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name W, I I i Ck M V2 C o i j n
Address: 1 a 3 I 00. -Q. S (' d
City: f_r0 C -�- P I P_ Cc.e State: F li
Zip Code: 3! 1 $ 1 Fax:
Phone No.
Name: �,7 ci L Lei- ou rs eo v
Company: W) C e n u i z) h G
Address: 15 0 q �70 n46k n P d a Ay e
City: ,F0 r-- P i Q C'GQ, State: �(r
Zip Code: _�4 qq 7 Fax:
Phone No 772- `i �6 - 05 00
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail W 1 i-P- n t1 + Z i n c Rol i co (K
State or County License
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.