HomeMy WebLinkAboutBuilding permit appAll APPLICABO INFO MUST 8E COMPLE:TE D FOR APPLICATION TO BE ACCEPTED
Date:
I
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Pionning and Deyeloprrient,Servkes
Permit Number;
Building Permit Application
Budding and cf?oeRequiationbFvisr'orr Commercial Residential }
2300 Virginia ,Av&Iue, fart pierce F£ 34982
Phone; (7721) 462-1553 Fax- (772) 462-1578 ,
PERMIT APPLICATION FOR;
Address:
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Property Tax IP #:
Site Plan Name:_ —
Pro}ect Name� Y7 t
D ETAI LED- D ESCRf PTIO N OF ► ORK: —
�:
New Eleetrica11Meter_ _ Second EIettrieaI Meter (Affidavit regLAred)
CONSTRUCTION WGRAAA-rioN
Additional wolfk to be performed under this perm it - check all that apply:
Mechanical — Gas Tank — Gas Piping
— Electric — Plumbing — Sprinklers
Total Sq. Ft of Construction-
Cast of Construction, A�
Lot No.
Block No.
Shutters _Windows/Doors —Pond
- Generator _ Roof Pitch
Sq, Ft. of First Floor,
Utilities: — Sewer _ Septic
OWNS ILESSEL Co�vT T f : ,
Name
AddressU__�Z
City:
Zip Cad
Phone Fl
Name:
Company: i+J
State: Address:
City;
I Zip Code.
I E-Mail-_ - : Phone No
Fill in fee simple Title Holder on next page ( if different F-Mail Wf dui &
from the Ow er listed above) State or County License
If value of coast u#ion 1500 or more, a RECORDED No#ice of Commencement is required
If value of HAVC.is $7,500 or more, a RECORDED Notice of Commencement is required -
Fax=
Building Height:
20
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