HomeMy WebLinkAboutBuild Permit App C1--------� � � w "UJ u ID fl{ ""' 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: \J�\'1'/ �-\ve..tt\ of-Go[) o, PRoPttGGy
PROPOSED IMPROVEMENT LOCATION:
Address: )O�O <;. us �\G�� 1
Property Tax ID#: ]4-\ \.\: -$o, -ltil'°t. --i S-o -l-Lot No.
Site Plan Name: Block No.
Project Name: L> /J\"1 Ct�\;\- o� GoD o..( ��t'tc�!iI DETAILED DESCRIPTION OF WORK: '
f Cq,tV \J � �o,J 6+ �\.<; l\Nb SP�.CC-»to �(2.S . Ai> Q T�
UJ"'lnet.. �C-ll 'lb grrl:f::funwl <'
New Electrical Meter Second Electrical Meter (Affidavit required) I CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
_Mechanical -Gas Tank _Gas Piping -Shutters _ Windows/Doors -
-Electric /Plumbing _ Sprinklers -Generator -Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$
OWNER/LESSEE:
Name
Address:
City:
2,�00 .. (17)
State:
Utilities:
-
Sewer _Septic Building Height:
CONTRACTOR:
Name: Ar..lbR� t-tel--"IA
Company: Ne1.,:A
Address: l 'H)J°I
�s.�l>C--\A i e .s
w (..,/J JJ
Pond
Pitch
lLC..
Zip Code: Fax: City: LDx...kt+-.+-rctt � State:�
Phone No. E-
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Zip Code: J?ttlO Fax:
Phone No %( G.o'2.ono«=J
E-Mail �"\A�<!--n ...... '-� tot\.S ((Wc..TwA> . �""""
State or County License C�c... �"2..-t9 �
If value of construction is 2S00 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.
I
I
Jim Griffin Development Inc (park place Mgmt)
PO Box 975
Palm City FL
34991
772-631-7486