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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION PAGE 1All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: )eot Permit Number: Q L' Planning and Development Services Building Permit Application Building and Code Regulation Division Commercial 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: I PROPOSED IMPROVEMENT LOCATION: Address: Residential' V", Property Tax ID #: �� `1 "� - �litJ� _02-w 3 Lot No. 13 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: (Affidavit required) _Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors _ Pond Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: `t } Cost of Construction: $ Sq. Ft. of First Floor: Utilities: —Sewer —Septic Building Height: OWNERAESSEE:. CONTRACTOR: Name KGIC Cl Name. I Addrejj��© - Compan • - MI City: F Ur 5LU W, State: 1]�J_ Address: Mar Zip Code: 34 Q,U Fax: City: Fri ere State: Phone No. L - Zip Code: Fax: E-Mail: r� LPhone No 1 - Fill in fee simple Title Holder on next page ( if different E-Mail from the Owner listed above) State or County License c- 20 U (*) 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.