HomeMy WebLinkAboutapplicationAll APPLICABLE 1
Date: � I ��?
�_ LLc
NFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
2oZ-1
Permit Number:
:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone* (772) 462-1553 Fax; (772) 462-1578
Commercial Residential
PERMIT APPLICATION FOR:0%. /c-- o ..,
PROPOSED IMPROVEMENT LOCATION.
Address: 2,!SO"S tJ%.J Nn����be��� �-en �c.�w� C.��.. Fl. 3�199
Property Tax ID #:
site Plan Name.
Project Name:
=o
DETAILED DESCRIPTION OF WORK:
New Electrical Meter
_M0
Lot Na. (
Block No.
45V g; -�- e &----I Ir Q.
Second electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed ender this hermit -check all that apply,,
Mechanical GasTank
Electric
Plumbing
Total Sq. Ft of Construction;
Cast of Construction: $ Ll
OWNER/LESSEE:
Gas Piping
_5prinklers
Shutters
Generator
Sq. Ft. of First Floor:
0
Windows/Doors
L43 (20 Utilities: � Sewer _Septic
CONTRACTOR:
Name <'�r-j V_
Address: 21%!3 t U i , , L
City. State: )'-L
Zip code: 399�0 Fax:
Rhone No. `7 '7 Z - - C% .
E-Mail:. G7 (e 7 c., w,t:.
Fill in
fee
simple
Title Holder on next page ( if different
from
the
owner
listed above)
Roof
Building Height:
Pond
Pitch
Name: 5:4
C'
Com pa ny: tin 'In
Address: I'LS CAL.
r •�
City: State: i
Zip Code:- F:
Phone N o 7 2- •- .i 1 0
E-M II--7 3 ov, inn
State or County License- CNc�,,
1Tvaiue
of
construction is
z.5uu or more., a RECORDED Notice of Commencement is required.
If value
of
HAVC is $7,500
or more, a RECORDED Notice of Commencement 'i's required.