HomeMy WebLinkAboutPermit App Knapp pg 1All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:.&6, Z r2,o2_4 Permit Number:
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: , wMa5m '
PROPOSED IMPROVEMENT LOCATION:
Address: 2_� 0 W A �T—
Property Tax lD #: 3Lu q ``) (5= 02_&?' 0a6 -'. Lot No. I
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Constructions
Cost of Construction: $ 3SQ- Qeoz)
(Affidavit required)
_ Generator
Sq. Ft. of First Floor:
_ Windows/Doors _ Pond
_ Roof Pitch
Utilities: Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
ee
Name (f / - +fPP
Name:
Address: 2J0W 1"- _
City: j Ct6_ State: f`L.-
,l Zip Code: 9 s--z_ �iFax: c
Phone No._112 -- d p A �� 6�i E-
Mail:
Company: AAV7 G % A7J
Address: s
Cr_�177_
City: 0i' � u".6 State: 7�--
Zip Code: �q`56% Fax:
Phone No -7-72-, 336 �� d
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-mail 0-r'(_e_e_bree'Z.e_-
State or County License 64CJ9'0z-7�f
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.