HomeMy WebLinkAbout2111 Nettles BlvdAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: � - � 9 - �1 a--
— Permit Number:
o 11L c �
1''
° Building Permit Application
Planning and Development Services /
Building and Code Regulation Division Commercial Residential VI
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR:f
PROPOSED IMPROVEMENT LOCATION:
Address: 2 11lVe1 llle-s---,61j. J&lw l 66, 4, /2, 3Y957
Property Tax ID #: y5SS -)L- -So /' OWL 000 3 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
��s� a��TZIVs :A
�; rsct
o � ,� lY
1 qJ0
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
nal work to be performed under this permit —check all that apply:
Ad2MVechanical
_ Gas Tank _Gas Piping _ Shutters _ Windows/Doors _ Pond
Electric _ Plumbing Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
'J p �o
Cost of Construction: $ '!.! �dA Utilities: _Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Name: 05 k —
Address: a411 e t Company:
City: Je State: /'L Address: �{O Sry t
Zip Code: 3Yi5-7 Fax: City: o,; 5` . LA, ? State:
Phone No. ) O 3 'y30 -?c�5I E- Zip Code:( Fax: X0
Mail: NO Phone No ?r7d.'J�y-9yg G
Fill in fee simple Title Holder on next page (if different E-Mail.r'4a5 �er &C��r�Co s �. ,'XQ t'
from the Owner listed above) State or County License C%}Cd I 5-d
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If valu�MHAVC �,5'7, 500 or more, a RECORDED Notice�Commencement is required.