HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
,u
` AppEation
Building Permit
Planning and Development.Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Commercial Residential �_
Phone: (772) 462-1553 Fax: (772 )462-1578
'- PERMIT
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Address: ?A30 )OtvlC Oaks "ri`il
Property Tax ID #: o Db I+ - O00 - (p Lot No.
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Site Plan Name: le•re'rb. $,jrye-j Block No.
Project Name: eard" a 65 sits i�
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Additional work to be performed under this permit -check all that apply:
_Mechanical XGas1ank ,Gas Piping _Shutters —Windows/Doors
Electric _ Plumbing _ Sprinklers Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Q
Cost of Construction:$ ) Utilities: _Sewer _Septic Building Height:
Jr, 25� _ (08
' Names 'b ' i ra �Vame:Larry
Licastri
Address: 1425 $e. V iiH�.Q�p�/V2 i:ompany:AmeriGas
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City: fort S4- Lvai2 State:L�I-
ddress: 3301 Oleander Avenue
ity; Fort Pierce State: FIB
Zip Code: 3`)4 SL Fax:
Phone No. Z Lll$y - ZS��
ip Code: 34982 Fax: 772 465 9448
. hone N0772-633-0740
E-Mail:
Fill in fee simple Title Holder on next page 1 if different
-MailAmeriGas-7262@amer gas.com
tate or Count License02707128579
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from the Owner listed above)
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construction is $2500 or more, a RECORDED Notice of Commencement is required.
Ifvalue of —
if value of HVAC is $7,500 or more, a RECORDED Notice of commencement hasquired. -
' o€gppltca to d t GAGEMWANY! —Not Applicable I ststa: State:
Zip: rno ne
pgF SIMPLE FITLE tt01 t)ER: _ Not Applicable LADING COMPANY: ,_,Not Applkab
"Name: am -e.
Address: ass:
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OWNER/CONTR4CTQRAFFIDVRt Application is hwaby mob to obtain a perm8to do the wwkand InMU"ash
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In mnddetatkm ofthe grafdkoP thffi fa4d Permit l do hereby agme that I wig, in eg respectrr Performtiro wort:
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