HomeMy WebLinkAboutBUILDING PERMIT PAGE 1AIIAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:Permit Number;
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Planning and Development Services
Building and Code Regulation Division
Building Permit Application
Commercial Residential
2300 Virginia Avenue, Fort Pierce FL i4982
Phone: (772) 462-1,553 Fax: (712) 462-1,578 CBDG Funding
pERMtT APPLICAT|ON FOR:
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PROPOSED I M PROVEM ENT LOCATION :
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Site Plan Name:Block No.
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Project Name:
DETAILED DESCRIPTION OF WORK:
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION I N FORMATION :
Additional work to be performed under this permit - check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors Pond
_ Electric _ Plumbing _ Sprinklers _ Generator
TotalSq.FtofConstruction:+Sq.Ft.ofFirstFloor:
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CostofConstruction: $ (Qr6oO Utilities: _Sewer _septic Building Height: I e
lf value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
lf value of HAVC is 57,500 or more, a RECORDED Notice of commencement is required.
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OWNER/LESSEE:CONTRACTOR:
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Address:
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Zip code: t\ 4??. rax,
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Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: Mirrttrt*S ,& LLr
Company:
Address:
city: P o-+ 6+ lr*,: c State: ?t-
Zip code: aLq,*? r^r,
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State or County