HomeMy WebLinkAboutBuilding Permit App 1 All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Lu?(nui }
P ' C t` L '' `"' 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:
Address: � tUt a� �� w1 P, C.-
Property Tax ID#: �j0 ( �) - Q( q( 000 - Lot No. 6��
Site Plan Name: Block No. L4L
Project Name:
DETAILED DESCRIPTION OF WORK:
f),)41 /ir- !1 j-2e,ee- -1^, G✓�
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
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 _Roof <', Pitch
Total Sq. Ft of Construction: ", .j i Sq. Ft. of First Floor:
Cost of Construction: $ ' ; Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name �Hun+C-- i U %car Name: N1+ ,(<- l L
Address: 7(DI ���Lz:� IRA Company:
City: e2/-4- to Q.--C State:E� Address:
Zip Code: Y16( S ((F,��ax: City: �o�� �;��-(�,��`e State: ? _-
Phone No. -7 n3 ` -S 0 7 E- Zip Code: �L-tq Fax:
Mail: Phone No - )R 6
Fill in fee simple Title Holder on next page (if different E-Mail F�� ,`� '-0
from the Owner listed above) State or County License LCL ( �i33(Q
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.