HomeMy WebLinkAboutBuildling Permit application - TurnerAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
-u LLcu
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 C13DG Funding
PERMIT APPLICATION FOR:
V/
PROPOSED IMPROVEMENT LOCATION:
Address: outh cce.y✓ Dc, L),,iF /Oolf.�l5e.\ c-�1,Ft 3gg9 % - lsl,l -buVIe-
Property Tax ID #: Lot No.
Site Plan Name: Block No.
Project Name: I ii1^ 0d
I DETAILED DESCRIPTION OF WORK:
bya- he,
e l ec> r'
New Electrical Meter Second Electrical Meter.
CONSTRUCTION INFORMATION:
(Affidavit required)
Additional work to be performed under this permit - check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters —Windows/Doors _ Pond
Electric V�,Klumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 4550, a-C>
Sq. Ft. of First Floor:
Utilities: -Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name crl C. Turo&'0
Name: dor T/
Address: M-D S Dcco'ob . U li 1 Da
Company:/ Occ cJ,Nt b , a /r"tSJ
City:, ey\1SeN T3eAc_l-I State: FL.
Zip Code: 3 `{ 4�T % Fax:
Phone No. /65-04 -Q/ 95 E-
Address:S57 IyU e �csl Cc
City: p5 I _ State: LL
Zip Code: 3q9R3 Fax:
Phone No77a -3c,1-g33Z
Mail:+3'Avesfinenfs.ccyyk
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail 0U(.'Wcde-ro I 11 c Py � mck Cn✓I,n
State or County License CFG =.4 `f /
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.