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HomeMy WebLinkAboutReceipt_2022-02-03_114213All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: I � L'- `r'L;Ur "J %* C": 11� c �' t3' . 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: L/ PROPOSED IMPROVEMENT LOCATION: Address: qa k-7 �%P/V1 q ��-�r Y-1 Property Tax ID #: Nbc.7 " U01 002)?) -'V0© 2 Lot No. Site Plan Name Block No. Project Name: DETAILED DESCRIPTION OF WORK: 14&4m­eoO L rvk�- I Vl V vp, New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: (Affidavit required) 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: Sq. Ft. of First Floor: Cost of Construction: $ Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACT R: n Name 0 C/k.5�� Name: 6N 4A V) 0 3 Address: 1� 5Q— Company: i C� City: GO 6X Q State: Iv Zip Code: GQt � Fax: Phone No. J Ifb"'-Tvl E- Addre c City: J Ct State: ✓� Zip Code: 1'49 ? Fax: Phone No -1­7oC.--7-7T— 00 ( l7 Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail t k\1k6-O0, Q) VK State or County License G 0 u vd!uC u1 co1­15iruc1L1on is cauu or more, a KtLUKutU Notice of Commencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.