HomeMy WebLinkAboutBUILDING PERMIT APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
aa{°. 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:
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Address: 321.0 S LAKEVIEW CIRCLE 3205
Property Tax ID #: 1425-605-0035-000-9 Lot No.
Site Plan Name: Gordon Osborne Block No.
Project Name: Gordon Osborne
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Remove and Replace (3) Doors to Impact
New Electrical Meter Second Electrical Meter (Affidavit required)
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Additional work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank — Gas Piping _ Shutters X Windows/Doors Pond
— Electric ____ Plumbing — Sprinklers — Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ �M� y , 00 Utilities: Sewer _ Septic Building Height:
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Mro��re:
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Name Gordon J Osborne
Name: Dale Materka
Company: All Construction Improvements,INC/ACI
Address: 10809 Anderson Lane
Address: 3210 S Lakeview CIR APT 205
City: Fort Pierce State: FL
Zip Code: 34949Fax:
city: Lake Worth State: FL
Phone No. E-
Zip Code: 33449 Fax:
Mail:
Phone No
E-Mail thepermitrunner _aol.com
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Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County License CGC-058549
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.