HomeMy WebLinkAboutKingscompermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATIQiI! TO BE ACCEPTED
Date:
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Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone.- (772) 462-1553 Fax: (772)462-1578
Commercial P0000014
CBDG Funding
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PERMIT APPLICATION FOR: j Y1�5 z`z:� W t
PROPOSED IMPROVEMENT LOCATION. -
Address: 7cl o Mff
Property Tax 1D #:
`6
Site Phan Name:
Project Name:
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DETAILED DESCRIPTION O
ORK
Residential
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up a kq)
Lot o.
Block Na. 1).
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New Electrical Meter Second Electrical Metes (Affidavit required) 04*"JD�k
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Additional work to be performed under this permit —check all that apply:
Mechanical � Gay Task � Gay Piping _ Shutters
4400Electric Plumbing Sprinklers Generator
Total Sq. Ft of Construction: Sq. F. of First Floor:
Cost of 00
Construction: /1000
Utilities:
--...,4 �3 7 +
i i Sewer
OWNER/LESSEE:
Name nl►fl
Address: )CP65-
a..
CitY=am I State:
r
Zip Code... 03 31 i Fax:
Phone No. E_
Mail:
Fiil in fee simples Title Holder an next page cif different
from the Owner listed above)
Windows/Doors Pend
Septic
CONTRACTOR:
Name:
Company:
Address: 1 0 S Cz)
city:(D., Oft If'
Zip Code:
Phone Na
E-Mail`��-L
Stake or County License
If value of construction is 2500 or more, a REGORGED Notice of Commencement is required.
If vaiue of HAVC is $7,5W or tee, a RECURDEDCommencement Is required.,
Roof Pitch
Building Height:
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1
Fax:
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state.
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