HomeMy WebLinkAboutBUILDING PERMIT APPLICATION(2
Al! APPLICABLE INFO MUST BE COMPLETED FAR APPLICATION TO BE ACCEPTED
Date: 3 36Q o`ZCo�.\
Permit Number:
Building Permit Application
Planning and Development Services
Building and Cade Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
PERMIT APPLICATION FOR,
PROPOSED- IMPROVEMENT LOCATION:
Address: _ i� � --me
Property Tax I D #: L� f1t7
Site Plan Name;
Project Name:
G)L.N)bE.,.S CUT
I
1 (:, PAL
OFF
.- y�� 0 0 0() -Ir 0 00--.6 P
DETAILED DESCRIPTION OF WORK:
W.0
Residential
0
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
Electric
Plumbing
_ Sprinklers
Generator
Lot No.
Block No.
Windows/Doors pond
Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of first Favor:
Cast of Construction: $ `� 0� Utilities: � Sewer _Septic Building Height-,
OWNER/LESSEE, CONTRACTOR:
Name Si_1tk b` �lt�� ��CS Name:
Address: � � -- �-,��� ,l� �r , Company: �'lC� S
City: � -- � � er�� State: 4 Address: IC510
zop Code: Fax: City: �-�-� �� State:F1 ,
Phone No. Zip Cade: LA9k 01. Fax: nrg,--�LIA LOW'75
E-Mail: Phone No rj'\ Q4% �A&�-
Fill in tee simple Title Holder on next page if different E-Mail .6�n
from the Owner listed above) State or County License T7 CD k Lo L 3
I Vd1We of consumiaon ;s ztp uu or m ore, a Kh(;QRE] ED N otwice of Co mmencem ent is req uit' d.
If value of HAVC is $7,500r more, a RECORDED Notice of Commencement is required.