HomeMy WebLinkAboutVOID PERMITAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: o(lu—b-�61
91l. L Uf I C E E Ir
Ading Permit Application ni
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierc FL 34982
Phone: (772) 462 _1553 Fax: (772) 462-1578
I PERMIT APPLICATION FOR: I
Address: 7 � c,9 Y > r
Property Tax ID #: Fel Lot No.
Site Plan Name: Block No.
Project Name:
I - - - C-4 t E:r Y- ) C Tff el N
New Electrical Meter Second Electrical Meter
(Affidavit required)
la,
HE 0 111 011§010,r
SER
Additional work to be performed under this permit — check all that apply:
GasTank Gas Piping
Shutters win'd.w;Ji�tior- and
Generator Roof Pitch
Plumbing Sprinklers
—
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
Cost of Construction: $ I?-L20 Utilities: —Sewer _Septic Building Height:
EMMA
Name of t7,-, r A4
Name: Oa/-
Address:'
C b m p a n y:
City: State:L.Address:
3� 3
Zip Code: Fax:
,
City: Z;114�- !!� —.X - " (: State:' . —
Phone No. 7.Z2- �YeP Z I
I Zip Code: �L/ Fax:
E - M a i 1: /Nrle 46� 0-707---C I ter' q 7 V7;,Wl AW Phone No :77Z 72-f
Fill in fee simple Title Holder on next page ( if er t E - M a i 1 60 oe,,z
from the Owner listed above)
J r unty License Zge:� Z
If value of construction is 2500 or more, a RECORDED Notice of Comme c' ent is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
AAA k,,,
axis-�inc� Floor plan
scale 1 / 4" - I'
r'ropo���I F Ioor
TN5 design complies with
2020 F(C nth Folbon Nildinq
Coe
Add � work 5tation5
with �0 220V AC oudeb
General Notes
No. I Revision/Issue I Date
Firm Name and Address
Project Name and Address
L iv, area
Patio area
Garage area
Project Sheet
DateO7/ 04121
Scale I i _ , of 2