HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Au 4,: s , ys', 20 2. i
Permit Number:
L�! ALL
E L' 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: a
PROPOSED IMPROVEMENT LOCATION:
Address: t. 2L P.oAl : Aair C , FL -749 ks I-
PropertyTax ID 4: ?Jig L.0 i A30. 4 O l a 2 Lot No.
Site Plan Name: FI—FJAJ _L .inrs rz LL— Block No. I
Project Name: i &14 ALL Ll.uk_ f--eA L:-
DETAILED DESCRIPTION OF WORK:
i3tli_ CDA a ILI—I ALL. Z92.•L. F, Lr'771LL 13"ALtL %liLLLYL CA07JAI tWl< r'1-&AJL W!11f
2, CA S' LJALk- jGArL- S
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
(Affidavit required)
Additional work to be performed under this permit - check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers — Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 9.
_ Windows/Doors Pond
Sq. Ft. of First Floor:
Roof Pitch
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name &JikM a Y A,/- v«ts
Name: Ail a iz, c:rt i1viLeY
Address: i:.2L. K Ag"sY la"fp
City: Pbo, r State: FL
Zip Code: _3 jei8 2 Fax:
Phone No. 172 iLee-o- cs:L2_3 E-
Company: A GAgwrrE?YLL,
Address: 73 I R..kiJ LN r L-k u fL
City: Pc;Lr- Sr- Lu,, r= State: FL
Zip Code: -74 r kL Fax: "+'?z -16h .7 .72
Phone No ]71 9a2. 4 2.3
Mail: ,+ter=c ��k[:.LL : r'e�u�L" v e�,vr
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail . A CLO 62- ia--*r.-rri,cc_ Lam
State or County License L C; c..
It 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.