HomeMy WebLinkAboutBuilding Permit App Page 1 - Banyan Dr All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date : Permit Number:
0
° 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- 1S78 CBDG Funding
PERMIT APPLICATION FOR :
PROPOSED IMPROVEMENT LOCATION :
Address :
Property Tax I D 3 q-5 2 00 00 4 00 00 Lot No .
Site Plan Name : � �'� � ,2..7 (5,1V� / pf G Block No .
Project Name : � IO � N y IA/ )) (k
DETAILED DESCRIPTION OF WORK :
ry 2r:-A LqL) . ON Llel? 7- I�/T-o qi�rUNgL 200M
�- q V � i � �.(� COT� WI - t ro1
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION :
Additional work to be performed under this permit - check all that apply :
Mechanical GasTank _ Gas Piping _ Shutters VOOOOWindows/Doors _ Pond
V/EElectric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction .- 25 Sq. Ft. of First Floor:
Cost of Construction : $ g 5 00 Utilities _ Sewer Septic Building Height :
OWNER/LESSEE : CONTRACTOR :
Name C)PPOA rVao / A �i4 NI � J b Name : � 2e A G- L
Address : I q IV h P Company ,. OUT f -ro C r , D A /
City; YOAT S`1' � v C i L- State : � Address .
Zip Code : 3 4 IS' Z Fax : City ! 450 S Orange Ave, Suite 356 _ State: FL
Phone No . E- Zip Code : . 32801 Fax
Mail: Phone No�o (, S' �' - Q8$ 7— gz (407)404-4949
Fill in fee simple Title Holder on next page (if different E-Mail I N ovrz1j C C 0 Nf F/R VC T JN - Co h
from the Owner listed above) State or County License_ CBC1259433
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.