HomeMy WebLinkAboutPermitAppFrontAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: lz.lz.2\ PermitNumber:
§#o#Ou@H%Fex Buj,ding permitApplicatj°n0
P:au::;:: aanndd :oedv:/°R:gmu;an:,:enrvD',Cv:sS,on commerc.ia| _ Res.ldentilal i
2300 Virginia Avenue, Fort pierce FL34982 ` `
Phone: (772) 462-1553 Fax: (772) 462-1578
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PERMIT APPLICATION FOR:
PROPOSED lMPROVEMEfuT 'LOCAT!ON:
Address: 3l`L ul\ul tzAocL`Ff-g UAY . Pnun c\TY_ fL 3q440
propertyTaxiD#:Llqri-1Di~047z,e ~OOO~| . ' LotNO. z3siteplanName:P\ueqB€nt>/Paa;|~31lBlockNo.
ProjectName: VAi t\f`t2ti5J6tl€uJi-¢E£`CX=iDCJG
DETAILED DESCRIPTION OF WORK:
ffoaT`Al u\L}OcL.3 Ar-O Oee]4 e£PL~aG]aJfrt`fr=pJT. /A)il5t2io¢`t2frobu4rc:oA of /`1 8€oeoa`^. ^Do (_:1 rAL GA4A.4£.
New Electrical Meter Second Electrical Meter
CONSTRUCTION I NFORMAT10N :
Additional work to be performed under this permit -check all that apply:
Mechanical Gas Tank Gas piping Shutters Windows/Doors Pond
XElectric Plumbing _Sprinklers Generator Roof Pitch
Totalsq.Ftofconstruction: 3ac) Sq.Ft.ofFirstFloor: %`¢+
Costofconstruction:S /ZO_coo Utilities: Sewer _Septic BuildingHeight:
OWNER/LESSEE:CONTRACTOR:` -
Name t>g7@~ \,AN Hfl4TE{\,6LD r,,Name: LJ=otlp£O T g¢l^faarzJT
Address...`I` Il`, . `I..u``u* .*ANir`LLI. >r3 Lal^-I company: ,ffitjin+ r¢Hhaftiatfa
city: fro``be'fa:;2;rf2Jj,ire.dr.;-`:®.` `+,.`fa state: fL Address:?.7 r` fl`Uflfr f<Z? '
City: <T`LoqT State:J±
I:Pocn°:d%ei*c][_grLFS=iT:i#Zip code: Zltl44/. Fax:
E-Mail: A\//,A^hcir+ /7D,c=c>L Lam phone No f7;a+.. 32S'. a 118
Fill in fee simple Title Holder on next page ( if different E-MaiillaD!afoaAifoa¢=l-Lulha.h-^a.c¢
Stateor.CountyLicense rc]C G5C13qLJfrom the Owner listed above)_,
lf 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.