HomeMy WebLinkAboutBUILDING PERMIT APPLICATION 12-14-21 All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: Permit Number:Q Nt -dib
RECEIVED
Building Permit Application � C 021
Planning and Development Services St.P ittingnty
Building 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`]MV PROVEMENT LOCATION: :
Address: $�q$ Sbi cebLc h Th rra&e, pS L 8 u 95a
Property Tax ID#:396 a r-I b3- OOgy- 000- O I Lot No.
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Site Plan Name: Block No.
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Project Name:
DETAILED DESCRIPTION .OF WORK;
J RECEIVED
New Electrical Meter Second Electrical Meter DEC 1.4 2021 (Affidavit required)
CONSTRUCTION INFORMATION.: Permitting
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Additional work to be performed under this permit-check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windo l s/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
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Total Sq. Ft of Construcl i4c Sq. Ft.of First Floor: i
Cost of Construction: �. .`®0, Utilities: _Sewer _Septic Building Height:
.'OWNER/LESS'EE.: CONTRACTOR:
NameT O)QnY)00. QnQ Name:60ke CrOy►C-h
Address:gasq g s5p►Ce bgs� o `2_rrGG-e. Company: c�TG COYICC re2 Plus
City: PAS L State:FL. Address: SoI 8O (-11C & LnC C a nci P—
Zip Code:&q 5 Q Fax: Imo) I R City: _PSL State: 47L
Phone No77-12 �7q -3 a 3 E- Zip Code: 3 A q g_l I Fax: N`lam
Mail: IQJ t4 Phone No112-2. K�)yo
Fill in fee simple Title Holder on next.page(if different •E-Mail,\A"C,• w YZCr-f-k-ou s 63 =1 -Coro
from the Owner listed above) State or County Licensed l
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.
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