HomeMy WebLinkAboutMonacelli (1)All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
L! (21
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oz. Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial y Residentia
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR:
I PROPOSED IMPROVEMENT LOCATION: I
Address: (7011 aLuibC n � r �
Property Tax ID #: 00 1_" — GC O -
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator _ Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ (j-u Utilities: —Sewer _ Septic
Lot No._
Block No.
Building Height:
Pond
Pitch
OWNERAESSEE:
CONTRACTOR:
Name. FnAne
Name:
Address:
Company: t3f,
Address: I,os \!
�-' ' City: f
Zip Code: 901
Phone No ��� . Lcj-L�
'
State:EL
Fax:
-1� `►�C�'
City. State:
Zip Code: Fax:
Phone No. SS(0 _ 5_:>�,71 -02 7 E-
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail
i
C` irY)_Ctk1_ eck
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.