HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: C-�� i3 k z ` Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce F! 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMITTYPE:
Address:
Property Tax ID #: 3W tp - S-o3 "- i16-H - 0oo - K Lot No.
Site Plan Name: Block No. 13
Project Name:
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Additional work to be performed under this permit -check all that apply:
_Mechanical Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
Electric UfPlumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $
Name i'_t..r�.Ait 3c t `ta cc J
Address: (; 'k 2 Y '\ ri;,• Ore t zr.S u;c
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
City: fur 2: zr.Z State: Ir cr
Zip Code: .i q �s 2_ Fax: \ �-
Phone No. - - Dui �'(iC$^ 3 2.S
E-Mail: L yj NL.' 1 , ( or1
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: (X,-rA i-Lr r, '5
Company: rLe t%.t °t� rrtna
Address: u
City: State: �L
Zip Code: 3'fg 87a Fax: A`7
Phone No '-i► 2 ' (n Z I <s�3,�
E-Mail^I G i erect . t N
State or County License C C_ t`t Z g 31 i<
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.