HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FO%APPLICATION TO BE ACCEPTED
Date: J�_ ��'� �! �Q Permit Number:.
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Building Permit Application
Planning and Develop ent Services
Building and Code egulation Division Commercial Residential
2300 Virginia Av nue,Fort Pierce FL 34982
Phone:(772 62-1553 Fax:(772)462-1578
PERMIT/APPLICATION FOR: (e r� ) oggrg
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Property Tax ID# �J 3 2 I — �a dy J () b�/ �7 Lot No.
Site Plan Name:_ M&YSV 4'cAi!n4 Block No.
Project Name: A!l-e vl
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New Electrical Meter Second Electrical Meter (Affidavit required)
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Additional work to be performed under this permit-check all that apply:
,Mechanical ^ Gas Tank Gas Piping _Shutters Windows/Doors —;P
"Electric _Plumbing _Sprinklers _Generator Ro
Total Sq.Ft of Constr i n: ` 1 ` `? Sq. Ft.of First Floor:
Cost of Constructio L f Utilities: _Sewer _Septic Building Height:
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Name LLe Le tie ( dlc Name: 45:kcyt ror1I-ecS
Address:_') 22k Are(n SRfr Company:Skev{ rrron�- n_ 0_001�/'"
City: tl s(— State:r Add ress:3 SZJ PWM e-L t0vt I A-0
Zip Code: Il CO Fax: City: ((�� c_��- k State:
Phone No. Zip Code: 3L R`t O Fax:
E-Mail: Phone No 33 L
Fill in fee simple Title Molder on next page(if different E-Mail `v' vC'W_Fron_eM W 00 6C . Ct9M
from the Owner listed above) State or County License CC.0 ( 3 2 (Oql? O
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.