HomeMy WebLinkAboutBuilding Permit Application (2) All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11 " Permit Number:
V U ' 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 CBDG Funding
PERMIT APPLICATION FOR: McAani C.,, 1
PROPOSED IMPROVEMENT LOCATION:
Address: 413 0*--I}�es gf\d f,p a et -_C0 'W -
Property Tax ID#: Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
CLNaAcke 0 k ' on ! 5 @C.0 n e. Coat 12f.1 WA,-lam
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
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:
OWN ER/LESSEE: CONTRACTOR:
Name 1UUL �44,,5 Name: QII�GC r,b i 0\
Address: 12> Ike l e5 6 l Jci Company: fv�r,�S5 X-AG
City: -a- I 5 Ida a'_ _ ___State:_ Address: 0 act(a SC
Zip Code: Fax: City: o State:
Phone No. 5I9 - S 13 - T99 - E- Zip Code: 3y 5.5rZ Fax: 335-33/o -
Mail: Phone No 3g19'15Y
Fill in fee simple Title Holder on next page(if different E-Mail AOAA 4erv�[.r Pi5C.5 E . Co W\
from the Owner listed above) State or County License C Y
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.