HomeMy WebLinkAboutFLANAGAN PERMIT COVER 1 All APPLICABLE I FCI MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I U d ' Permit Number:
o LI C L LRII ,R
U, °' 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:
PROPOSED IMPROVEMENT LOCATION:
Address:63 jcl 0e,3&tfit
Property Tax ID#:20 9_q D2 UV'I I_
C)Oa (f3 Lo15No.2
Site Plan Name: ee�� Block No.
Project Name:___F1 U r) b
DETAILED DESCRIPTION OF WORK:
\A s k_f
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 _Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: i O'C7 0 Sq. Ft.of First Floor:
Cost of Construction: $ 11, 0 60 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name —Iaba a a n Name: WiffiamIYl
Address: 1 Company: u
City: State:{ Address:
Zip Code: Fax: City: r State: C
Phone NoA'��,� - 3�a--( 1 31 E- Zip Code:�t "I Fax: --'
Mail:( Lp Iq erD m5'f'. rig 3�4(� Phone No
Fill in fee simple Title Holder on next page(if different E-Mail ��aft. Det
from the Owner listed above) -f�QhLQ— State or County License
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.