HomeMy WebLinkAboutBuilding Permit app, page 1 All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: a l S_:off�_'AunoD elonl--;e Permit Number:ISM. ILUCE - O
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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: /'� LI�C/��2 S J'L/��C PO1CTST 'LlI e 16 2 L
Property Tax ID#: 3 a°t -"0/—00/ 3 -- 0 00 —d Lot No.1_
Site Plan Name: +A4ffGK Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
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New Electrical Meter)_Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
Mechanical X Gas Tank X Gas Piping _Shutters X Windows/Doors Pond
xElectric X Plumbing x Sprinklers &_Generator K Roof 112- Pitch
Total Sq. Ft of Construction: 101 210 Sq. Ft.of First Floor: 1210
Cost of Construction:$ k`70 ' Utilities: Sewer _Septic Building Height:
'OWNER/LESSEE: CONTRACTOR:
Name. ZH14-+- D6UIJk 6"Mt Name: — - ;i �'LZc�E
Address: 0t gl i CLl 7k, Company:
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City: pkrfi J- � ewe-"' State:/ t- Address: FV 40 1,MU'9
Zip Code: 3y9go —Fax: City: PO4T S"T LUC-16 State: 9
Phone No. 72) 20 - 4421 rI E- Zip Code: *;5 W gb Fax:
Mail: I 4Q 3-7 OD cLo 1 . CO-T) Phone Nc 17?) 260 -g N1)
Fill in fee simple Title Holder on next page (if different E-Mail �,1'�'I�L—AlL' 6CUS6 U7-6,kle-f
from the.Owner listed above) State or County License
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.
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