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HomeMy WebLinkAboutPFAFF ac permit (1)All APPLICABLE INI:O MUST BE C0IVIPLETED FOR APPLICATION TO BE ACCEPTED (Date:PermitNumber: E EL` © a; I Bh fr-*l Bui|dingpermitAPplication P:au:,:;nn: ::: cDoe::'°R:gmue,:ttjsoenrvD',Cv:sS,on commerc.ia| ± Res.ldent.lal 2300 Virg.Inia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553Fax:(772)462-1578 CBDG Funding /PERM,TAppLicATioN FOR: flc chorqe our PROPOSED IMPROVEMENT LOCATION: Address:7u+.XI S` Or\Ct]r\ r)r, th Etfso) \ lergr7' , F/ aucB7 propertyTax I;#: t3E;a-a.-(Oclto-c"1(`)i? ` COC+ S` Lot No.SiteplanName:nftBlockNo. Project Name: A/* __ DETAILED DESCRIPTION OF WORK: iAO.irpo\nrifayvvas=^+ Tmne ,a .len f3-+\f) lbLqafy_ ' -\ __ - New Electrical Meter Second Electrical Meter (Affidavit required) CONSTRUCTION INFORMATloN: Additional work to be performed under this permit -check all that apply: ¢Mechanical Gas Tank Gas piping Shutters Windows/Doors Pond Electric Plumbing _ Sprinklers Generator Roof Pitch Total sq. Ft of construction: ,` r` Sq. Ft. of First Floor:- Cost of construction: S i Utilities: Sewer _Septic Building Height: OWNER/LESSEE:CONTRACTOR: Name /Vlca Pfhf+`Name: `Kl irYl \,4)l \LYnr` Address: l+tf) ts, tr`cnr\ r\/ # E ~3d company:Pnrmie/ P\iJinbirn tl A)/Address:logNEnix.)aI+lAJ`L/ city:i }fnr©rfech ' state:E1Zipcode:gHCLF=7Fax:phoneNo.qL=+~loxL,.a7E=7 E- city:th )d/+ , date:ELzipcode:2)uqvyL+Fax:phoneNoiic5i-toqa-are Mail: Fill in fee simple Title Holder on next page (if differentfromtheOwnerlistedabove)E-Mail nrFol booct rp Onnall,..a state or !ounty License C ha~- C)gae7L' If value of construction is 2500 or more, a RECORDED Notice of Commeiicement is required. lf value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.