HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 15) Permit Number:
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P01' ° "'! 91-1- 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 CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
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Address: a aCj f2nral e- l cn e ('� --
Property Tax ID #:,:,�Y iG - 51Q3aa - a Lot No. "I
Site Plan Name:'J-L' Pocy__o(=,i t- Block No. o��
Project Name: C-e_r,( �( )C`± \tic) n
DETAILED DESCRIPTION OF WORK:
✓1eP�0C�}C �ckC<j
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit- check all that apply:
Mechanical
Electric
Gas Tank
_ Plumbing
Total Sq. Ft of Construction:
_ Gas Piping
Sprinklers
(Affidavit required)
_ Shutters _ Windows/Doors _ Pond
_ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Cost of Construction: $ ��� Utilities: —Sewer —Septic Building Height:
OWNERAESSEE:
N a m e:5 1 In r, c C_Q L-)
Address:c2aD R-a m ►� LC�,
City: PS L z Stater
Zip Code: Fax:
Phone No.
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-
CONTRACTOR:
Name:
Company:'Tr-ue MPrn lJ ' L L O
Address: Lit9jo nLl_) )MC-i 11 9-r-e e`
City: State: F
Zip Code: 22 -f g O 'f Fax:
Phone No %)
E-Mail em P ZCC MG+ I -C.-6rn
State or County License CA C 1 Ci 1 a
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.