HomeMy WebLinkAboutBuilding permit app pg 1Building Permit Application
Planning and Dellelopment Services
Residential Building and Code Regulation Division Commercial ____ _ -----2300 V-,rginia A...,,ue, Fart Pierce FL 34982
Phone: (m) 462-1553 Fax: {772) 462-1578 CBDG Funding ___ _
PERMIT APPLICATION FOR: flt C,. CM,i ~ O{);(:-
PROPOS
Address:__J[)r'.1J....J:2lL.UUJtJt1:C..._,l.lL.~_tl~:!;2_J:1:£1..Q:~~'J:1'2.t~lJ:Jl!'.l~L:~:.!::!_.t:,.L
PropertyTaxlD#: ______________________ _ lotNo .. ___ _
Site Plan Name: ______________________ _ Block No. __ _
Project Name: _____________________________ _
I DETAILED DESCRIPTION OF WORK:
New Electrical Meter ____ Second Electrical Meter, _____ (Affidavit required)
I CONSTRUCTION INFORMATION:
Ad✓.::I work to be performed under this permit-check an that apply:
_Mechanical A{C. _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors Pond
Electric _Plumbing _ Sprinklers Generator Roof Pitch ----
Total Sq. Ft of Construction:-:,,-------
Cost of Construction: $ .:J {p (5() • OD
Sq. Ft. of First Floor: ________ _
Utilities: _ Sewer _ Septic Building Height: ___ _
OWNER/l.ESSEE: CONTRACTOR;
If value of construction is 2500 or more, a RECOROED Notic:11! of eonnne-is requi,ed.
If value of HAVC Is $7,500 or more, a RECOROEO Notice of Commencement is required.