HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: ILI `m8
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR: �1 ` 0&j
PROPOSED i IMPROVEMENT LOCATION: <Sqn
Address: 7 `-I ZD S, OC ec<a i r Ip oj) Ci av,�ea Or-4C
Property Tax ID#: •Z c75 00_tb— W D Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF`11VORK: ;
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION::
Additional work to be performed under this permit—check all that apply:
—Mechanical —Gas Tank —Gas Piping —Shutters Windows/Doors _Pond
i
Electric Plumbing —Sprinklers Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 2611. S'p Utilities: —Sewer —Septic Building Height:
,OWNER/LESSEE - `. CONTRACT OR
Name L t Q Cs enY• ` ►\ Name:
Address:—ETS S Company
City: Ix es+ Get.� IM 1 � State: Address:(krG
r
Zip Code: 33 4Dto Fax: City: C-S! AG"'� State:
Phone No.cS W -b y 2 big 9 S'" Zip Code: Fax:
E-Mail: Phone No
Fill in fee simple Title Holder on next page(if different E-Mail iC�sl--d %�G
from the Owner listed above) State or County License /_ ,XS •14-5g09
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.