HomeMy WebLinkAboutBUILDING PERMIT APPLICATION page 1All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982 I
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: ,NL 1 'r-t • (� ti t"� C,
Property Tax ID #: LA i DD0 " L) Lot No. J
Site Plan Name: t'ut OVI/\ (' Block No.
Project Name: 1 _
DETAILED DESCRIPTION OF WORK:
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CONSTRUCTION INFORMATION: j
Additional work to be performed under this permit —check all that apply:
_Mechanical _. Gas Tank ^ Gas Piping _ Shutters Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction. 3 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR: - —
Name: Larry Licastri
Name 11C4%.►-,
Addresss LA IDVV_C
Company:Americas
City: _"l . 191� L _ _-_- State:T -
Zip Cod e:3u elLA S7- Fax:-\1—~ C-fW' el el 9
Address:330t Oleander Avenue
City: Fort Pierce State: FL
Phone NoYlL-31 1) 3� 1 G1
Zip Code: 34g82 Fax; 772-465-8448
E-Mail:
Phone No772-633-0740
E-MailArneriGas-7262@amerigas.com
Fill in fee simple Title Holder on next page ( if different
State or County License02707128579
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.