HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST 8E COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10
'l
FF
,;�Fh+
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) 452-1578
PERMIT APPLICATION FOR4
:
Cornmerdal
0
E-LEC CAL.
PROPOSED IMPROVEMENT LOCATION.16
.Mdmvi
Address:
i
i
Property Tax ID #:
di
Site Plan Name:
Project Name:..
D
Residential
Lot No. I q
Block No. LA
DETAILED DESCRIPTION OF WORK:
�E.p�..PsC�. MPcit�l Kt�E,L kl\t =NlbTP, U6--w ►SE
it11%�1� . l
New Electrical teeter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to
be performed under
this permit -- checic
all that apply:
Mechanical
Gas Tank
1 Gas Piping
Shutters
Electric
_Plumbing
Total Sq. Ft of Construction:
Cost of Construction.
Sprinklers
Generator
Sq,p Ft. of First Floor. -
Windows/Doors Pond
Roof Pitch
Utilities: � Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name KN R7AL.
Name: Orku.f C)L-.
Address:,,,-,,-,,-- tlsq — NR
Company:
City: �1 1'. a-* "CA � State: � .
Address: kc�1
Zip Code: 't)LiFax:
City: 2, Stater
Phone No. "in BAS,i
Zip Code: Fax:
E-Mail:
Phone No
fill in fee simple Title Hodder on next page"( if different
E-Mail 1Q=SM4
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.