HomeMy WebLinkAboutBuilding permit app, pg 1All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
( z`L� LLYCIL
G L, C, L L ''' N +`'" 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: 1 70 �3(,�e de FT / f L S,l qys
Property Tax ID #: Lot No. � ,�/
Site Plan Name: 2 (� c rye Block No. T
Project Name: Cz,/ ''J
DETAILED DESCRIPTION OF WORK: I
I i•.'1rnc.'�t r�Ca��r�c v�iMM��� ��L_
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
(Affidavit required)
_Mechanical J Gas Tank Gas Piping _ Shutters _ Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: /y7 Sc, F Y- Sq. Ft. of First Floor:
Cost of Construction: $ )� 000 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name ecle We r,-
Address: 17L2 i31" ( 6-M Wlle
Name: JnmeS 5)u,,PS
Company: Homt 'Tt b Floc, I A
City: F4. prf<L.e. State: FL
Zip Code: 32-qu 5' Fax:
Phone No. -70`1 - QSIe -Oclzo E-
Address: I kW K) Fe tef.11 lltwl 11 2 3
City: ( / tc"iIf'a"'u State: jr I
Zip Code: 33101 Fax:
Phone No 2tP.Z - $-0I - Gla i�
Mail: Mo.�nn-. rz. a -Cc, bk I? ! IMMA. (LM_
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail 'Komt � QT �t�.-, ��Q� d�/Igi I. f!j Al
State or County License_(- (-L KV-T 3 3 `i
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.