HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
S�T.J LLITCH
i 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
F
PERMIT APPLICATION FOR: Mea{Ga.l
PROPOSED IMPROVEMENT LOCATION:
Address: ( & x tJ eltIes bi vd Wee- I :Cck 415 4so -.SDI - ayie. oay • i
Property Tax ID #: Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
3
i <Q r r P_
New Electrical Meter Second Electrical Meter
(Affidavit required)
1 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: 5q. Ft. of First Floor:
Cost of Construction: $ y,SO . Utilities: — Sewer _ Septic Building Height:
OW N ERAESSEE:
CONTRACTOR:
Name W 1'454
Name: "C.YA
Address: 64.1 M(0rJCS IbIJ
Company: 00
E_ �►'fG
City: Tt?!LY�r@ �r.k State: _
Zip Code: Fax:
Phone No. �GI '' �6 `37 E-
Address: --9 S E �n 44- fG (y
City: D�'��1�j{' DUI Gi
zip Code: 3g95 Fax: .33-g''
Phone Na S - a3 Ltq
State:
3.3ly
Mail:
Fill in fee simple Title Holder on next page (if different
from the owner listed above)
E-Mail ®
�W l^15�5�oloM
. Qm
State or County License GNic-
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.