HomeMy WebLinkAboutUpdated permit application All APPLICABLE INFO MUSTMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ^
Date: �o • a-1• -,;L- '\ Permit Number: O 0 �y 13
9V'o JICM RECEIVED
0
• OCT 21 2020
Building Permit Application
Planning and Development Services 'Lucre Co�r�
Permi
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 CBDG Funding
PERMIT APPLICATION FOR:
'PROPOSED IMPROVEMENT LOCATIO n
Address:
Property Tax ID#: 3�1'c��,-O c��.— (�( IV^�T�(�C�U'y Lot No.
Site Plan Name: Block No.
Project Name:
S i -3
-( i 5 L=ah=11 n rnCxxS
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 _Pond
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction: $ (2p •on Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:_
Name l Name:
Address: '3�� �'� Sy lay (t Company:
City: /)�� ,�Q( g State: `L Address:
Zip Code: '3 L}Q�� Fax: City: State:
Phone No. 7-7 11 -' E- Zip Code: Fax:
T
Mail: i I O Phone No
Fill in fee simple Title Holder on next page (if different E-Mail _
from the Owner listed above) State or County License
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.