HomeMy WebLinkAbout950 neetlesAll APPLJCABE INFO MUST BE COMPLETED FORA PLiCATl0N TO 0E ACCEPTED
Date.- 0 __ (
Permit Number;
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Building Permit Application
PJonrrrng and Development Services
Building and ode Reguidtiorr Division C C71 m e rC l a l_ Residential
5
2300 Virginia Avenue, fort Pierce FL 34982 D '
Phone. (772 462-1553 Fax: (772) 462-1578 C Funding -
PERM ITAPPUCATION FOR:
PROPOSE IMPROVEMENT LOCATION
Addre5, I
Property Tax l 4:
Site Plan Nam
Project Name
DETAILED DESCRIPTION OF WORK
New Electrical Meter _ Second ElectricallMeter
CONSTRUCTION INFORMATION -
(Affidavit required)
Lot No__
BlockNo. -- —
Additional work to be performed under this permit —check all that apply;
M2chan cal _ Gas Tank —Gas Pi ping Shutters — Windows/Doors — Pond
Electric _ Plumbing R Sprink ers Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: Utilities: _ 5ewer _ Septic Building Height:
QV1{,t .. EE:JTRACTO
Name lrI 6� + , CT Name;
AddrJW5-4
Company: l
City:' State Address: r l
Zip CFax. City; r C state.
PhonE- Zip Code. 34Fax,
Mail--- - Phone No
Fill M fee simple Title Holder on next {gage (if different
from the Owr er listed above) State or County License V CAC ( 1
If value of cans ruction is 2500 or more, a RECORDED N Itice of Commencement is required.
If value of HAV is $7,500 or more, a RECORDED Notice Of Commencement is required.