HomeMy WebLinkAboutBUILDING PERMIT APPLICATION PAGE 1All ~l£ INFO MUST BE COMPl.ETEO FOR APPLICATION TO BE ACCEPTED
Date: l7i3j U Permit Number: _______ _
~'1.: LttCUls ·"""'" G SJWLJQ .. ii~l. l' ~~kffW, •_.;,. Building Permit Application
Commercial Residential
Planning and Development Seivia!s
Building and Code Regu/atian Division ----------
2300 Virginia Avenue, Fott Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding ___ _
PERMIT APPUCA 110N FOR: A e,.. tMn _ o();t-
Address: I
lot No •. ___ _
Site Plan Name: ______________________ _ BlockNo. __ _
Project Name: _____________________________ _
I DETAILED DESCRIPTION OF WORK:
New Electrical Meter ____ Second Electrical Meter _____ (Affidavit required}
I CONSTRUCTION lNfORMATION:
Ad,:nal work to be performed under this permit -check aU that apply:
_Mechanical A/C. _ 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: $ 5 l5lJO -' a-D Utilities: _ Sewer _ Septic Building Height: ___ _
OWNER/LESSEE: CONTRACTOR:.
If value of construction is 2500 or more, a RECORDED Notice of~ is required.
If value of HAVC Is $7,500 or mare, a RECOIIDEO Notice of COlfflheiKEiil&tl is required.