HomeMy WebLinkAboutBuilding PERMIT APP 1N
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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: _ i�� I 81goal Permit Number:
UN®
Mai y + r
C61
0-Y1
N N:
a
Building Per 'it Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 452-1578
Commercial Residential
PERMIT APPLICATION FOR: � lec,+r i c o,,.,I
PR,0POSED IMPROVEMENT LOCATION: �
_
Address:
Property Tax ID #11
Site Plan Name:
Project Name:
Aq
DETAILED. DESCRIPTION OF WORK:
New Electrical Meter
Lot Nov. 36L
Block No.
"iCa-1�. OQ124Q. � /LIS2J� uJ.U�3� O�Yx�_ 6YCwYJ�rnG
Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION: 1;
Additional work to
be performed under
this permit -- check
all that apply:
Mechanical
� Gas Tank
� Gas Piping
Shutters Windows/Doors Pond
Electric
_ Plumbing
Total Sq.. Ft of Construction:
Cast of Constructions: $ ^�, � 00
_,,,,, Sprinklers
Generator Roof Pith
Sq. Ft. of First Floor:
Utilities; Sewer septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name 'fD `�vsb3p
Name: YYIP.S
Address: 50111%cm 1 lame MVP.
Company: HMWGLEJ 4?E,iTlC0.�
otv-.-,F+.., Pi, r State:
Address:, IUIU W.Zip
Cade; 3�lg51 Fax:
City: �state:
Phone No. 7'ld- &()�L-
Zip Code: Fax:
E-Mail.• Q-puteos6if boa4s,
Phone No TI;L- x4 6i-&,9kag
Fill in fee simple Title Holder on next page if different
E-Mail �QY11BSf�`D,�UiO� aoI. cc)YI')
from the Owner listed above)
State or County License Lo��1
If
value
of construction is
2500 or more, a RECORDED Notice of Commencement is required,
If
value
of HAVC is $7,500or
more, a RECORDED Notice of Commencement irequired.