HomeMy WebLinkAboutSnoberger Permit App 1ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: L (i Permit Number:
•
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: S 2 �Lt I LLI G ( 1" 6
Legal Description:
Property Tax ID #: `I 2 b 01- 00 S — OOb- Lot No_
Site Plan Name: Block No.
Project Name:
Setbacks 'Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK.
c
)VIA C,\ S (01ej �- A"W,Y h,ew.
i
CONSTRUCTION INFORMATION:
Additional work to e e orme under this perms -check a apply:
0HVAC E] Gas Tank ❑Gas Piping _ Shutters Windows/Doors
9 Electric r � Plumbing U Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction. $ l D� Utilities: -Sewer [] Septic Building Height:
OWNER/LESSEE.
CONTRACTOR:
Name_T�IQL,gt R_ SAQ 6e_Q\E,(
Name: Friic i ��roU�n civ
Address; ZZ S L!i ; � l! r c' _ L �rll Wi t- 1,7- i 66
Company:
City: EL-i T i e cc a _ . State: -r ►
Address: 35 p 4 �rQ n+v- U E
Zip Code: MAY Fax:
City: _T_<5 r + F �etc_,e. �_ State.
Phone No. ZL- 35 � S l7
zip Code: 3 4'7 Fax: 77Z 66- 05gO
E-Mail: S(t oic?'L���Qre �ri1a`;� _�.O n�
Phone No. 272 qq 6- QS00
Fill in fee simple Title Holder on next page ( if different
E-Mail: W (e u+2-) AC ON 01 - (-QMI
from the Owner listed above)
State or County License: t� C 1500S517
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.