HomeMy WebLinkAboutMESSER PERMIT APP 1All APPLlCAU
Date: `1 C
p
NFQ MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Permit Number:
Building Permit ApplIcation
Planning and Development Services
Building and Code Regulation Division
00 Virginia en e, Fort Pierce FL 34982
Phone: (772) -15 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
Commercial
ELtCT(ZI
OCATION:
Address: (OSao- GRhkAP6"4" h ,
Property Tax ID #--h
Site Plan Plan Name:
Project Name;
DETAILED DESCRIPTION OF WORK:
Residential
Lot Na,,
Block No.
��J sW rTc....VA 'PIPS. Pq�_D\Q��E TO
I�Eti1 �'ROU.t�GN'
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit - check all that apply:
Mechanical
Electric
Gas Tank
Plumbing
Total Sq. Ft of Constructions.
od
Cost of Construction: $
Gas Piping
Sprinklers
Shutters Windows/Doors Pond
Generator Roof Pitch
q, Ft. of First Floor:
ti lines: Sewer = Septic Building Height:
OWN ER/LESSEE: R _ ----- - -
CONTRACTOR.
Name S'���n � i�fa�-� - - -- - - - - -- - Name: �5 � • r'lOL`�' 'C�
Address-,: to Company.- baL J(L !F= 1'CQj � Sac
pity: _ � . � l��C.�, Stater Address-. 1C�
u
Zip Cody: ����� fax: City: �-�c , �I�rCQ State:.
Phone Na._ 'Ina dPWIF Zip Code: _�,�r�l� a=2 Fax:
E-mail: Phone No Z3�,�J
Fill in fee simple Title Holder on next page if different E-Mail
from the Owner listed above) 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..
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