HomeMy WebLinkAbout38loslagos3All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: lo� - 8 -;!�n Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Residential V
Address: ` � �C �� [ i (=,t� a! is ' Rein+ 3 FL -31-6 52
Property Tax ID #: Lot No.
Site Plan Name:
Project Name:
Block No.
I DETAILED DESCRIPTION OF WORK: I
New Electrical Meter
Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit- check all that apply:
XMechanical _ Gas Tank —Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 6. y(b �!5 , Q<)
(Affidavit required)
Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Pitch
Utilities: _ Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name 'T C 1� S N �t
Name: Ca-�
Ca fl-A aj��1
Address: :5 Z ,3 t iat�c tJ
Company: C cell
City: a',C4 y5�` CoC e State: Fe-
Zip Code: 3gcj, Fax:
Phone No. des _:;- :S-5c) E-
Address: ��12`-SL` ��1tsJ �� t,g �az.
City: i.
Zip Code:
Phone No 77�;
State:
Fax:
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail C'g�ty ph�i� CcSt
l � 1 o oil �r� tti
State or County License
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C cac lSz_
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.