HomeMy WebLinkAboutZizza app pg 1All APPLICABLE INFO MUST BE COMPLETED FOR APpllcATION TO BE ACCEPTED
Permit Number:
Planning and Deilelopment Services
Building and Code Regulation Division
Building Permit Application
Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
Residential X
PERMIT APPLICATION FOR: `` Ac.
PROPOSED IMPROVEMENT LOCATloN:
Address:L±L\Le_TPc>tulrosa b.. A2Jf`D : i+P`¢::ce tl_ 31qga
PropertyTaxlD#: 3u``O-Sol-o`\ho-ooo -a
Site plan Name:
Project Name:
lot NO.
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION :
Additional work to be performed under this permit -check all that apply:
±/Mechanical _GasTank Gaspiping _Shutters Windows/Doors _Pond
_ Electric _ Plumbing _ Sprinklers Generator _ Roof
Total Sq. Ft of Construction:
Cost of Construction: S
Sq. Ft. of First Floor:
Pitch
Utilities: Sewer _ Septic Building Height:
OWNER/LESSEE:CONTRACTOR:
- -I.-- ` -.Name: MILehall /1zi2alli.
`..-..`.\,-.,.Company: tkiv`£`+ Air, /^cA.'-.,`H|,I/ I
City: -ut?`erc c State: |L
Zip code: Sqq£1 Fax: -City:Q].Jm 4tJ^J ` ' State: il
Phone No. lil, `u`-H5oa E-Mall:Zip code: 3u4qd Fax: 112,-2J32L-//lf
Phone No 112.. 23 2r 111 I
Fill in fee simple Title Holder on next page (if different ', , . ,.\-I \ -
from the O`Arner listed above)State.or County LjcensecJia OS2 Srog
lf value of c®nstructlon ls 2500 or more, a RECORDED Notice ®f C®mmencement ts requlred.
lf value Of HAVC ls $7,500 or more, a REcORDED N®tlce of Commencement is required.