HomeMy WebLinkAboutBuilding permit app pg 1All APPUCABI.E INFO MUST BE COMPLmD FOR APPUCATION TO BE AU.EPIID
Date: ,. ll IS I '2-1 Permit Number: _______ _
S;-~.' :-''~
' 11 -' .
Planning and Development Services
Building and Cade Regulation Division
Building Permit Application
Residential_/ ___ _ Commercial ____ _
2300 Virginia Aw,nue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding ___ _
Address:
PropertyTaxlD#: ______________________ _ Lot No .. ___ _
Site Plan Name: ______________________ _ Block No. __ _
Project Name: _____________________________ _
I OET Al1.:a> DfSCRIPTION OF WORK:
UMi\:: Wil-h to kvJ
New Electrical Meter ____ Second Electrical Meter _____ (Affidavit required)
I COMSJlWCTIOH lftroRMAllON: .
Add~nal work to be performed under this permit -check aH that apply:
{Mechanical A/C.. _ Gas Tank _ Gas Piping _ Shutters Pond
Electric _Plumbing _ Sprinklers Generator
_ Windows/Doors
Roof ____ Pitch
Total Sq. Ftof Construction:~------
Cost of Construction:$ 51 {ID(), 00
OWNER/lESSEE:
Sq. Ft. of First Floor: ________ _
Utilities: ~Sewer _Septic Building Height: ___ _
COKl'RACTOR:
If value of construc:tion is 2500 ar more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDEO Notice of Commencement is required,