HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:' Al Permit dumber:
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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: rv\ec'� f Cam.(
PROPOSED IMPROVEMENT LOCATION:
Address: 11 H 0 1kJ4 1c S earu 1 �f SaG - 56 l - r 3,1`7. 000 - 6
Property Tax ID #: Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
41 006 `/? -I-o� f q Seer 1ne- S+ Caal PISS kA-; h - -
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New Electrical Meter
Second Electrical Meter
(Affidavit required)
CONSTRUCTION INFORMATION: I
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: $ Utilities: —Sewer —Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
1
Name ]I I [AM M C 6-et- MYL
Address: t) C(U N�G*1e_S 191 vd
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Name: Ci,I Y. iZ vr-Y1
�co'r
Company: G�Il`tw
City: 1^fA54'1' State:
Zip Code: 3 L_95�-i _ Fax:
Phone No. 7 7 ;L • - 'i a
Address: i,Ci4 s1 J91 _ _
City: [ O r+ s4 LAL co'e ____ Stater
Zip Code: 3� ci Fax: :3 3S-331 d
Phone No 3981, ;L3qq
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail_ r��n�
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State or County License 4C#X1 C I afil S�
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.