HomeMy WebLinkAboutsuzanne permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date; 71. Permit Number:
LL' GLE
JT
�W.: ' Building Permit Application
Nanning and Development Services
ouddtng and Code RegulQtion 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: br-RLER119 w r
Property Tax I D 9: r - � r / ` z 0 - S tNo.
SitePlan Nam 1 Y1
Project Name: —_—_......._--
-----------... .
DET4#LED DESCRIPTtO N OF WORK:
C CIO
New Electrical Meter _ Second Llertrical Meter (Affidavit required)
CONSTRUCTION INFORMATION'
Arid itlanal work to he performed under this permit — check all that apply:
P�NTechanica I _ Gas Ta nk _ [ids Piping _ Shutters _ Windows/ Doors Pond
Electric _ Plumbing _Sprinklers _ Generator _ Roof Pitch
Total 5q- Ft of Construction' — 5q. Ft, of First Floor:
Cost of Construction: �� Utilities: _ $ewer _ septic Building Hei t:
WNER/LESSEE: - -- - - CONTRACTOR:
Narne 1 f j F , s (r . -
Address =
Narne;
Ccrnpany. d'
l/
City: State:
Address:
Zip Cade: Fax:
City-
State:
Zip Code: ,?- _ Fax:
Phone No. % ` E-
mail:
Phone Igo
Fill in fee simple Title Folder on next page (If dFf#erent
E-Mail zz.)t n/coa (t
State or County License
from the Owner listed above)
11 value of construction is 2500 or more, a RECORDED NotTm of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commenaernent is required.