HomeMy WebLinkAboutBuiliding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
S5Vo LU Qt� U
h77
O
° ° blz . 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:.DC�� I
iu � K(:etis
PROPOSED IMPROVEMENT.:LOCATION:
Address:
V/
P rope rty Tax I D #: _ _412 S " 1 0 3 ' JC3Q34 " 000 - 2 Lot No. 29
Site Plan Name: R` N&?fKYD Block No.
Project Name:
New Electrical Meter Second Electrical Meter
(Affidavit required)
Addal work to be performed under this permit— check all that apply:
iti_Mechanicall _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 050 " 0'
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
Address:030C11 NW J N; Q�
City: iM LAX-0 State:.
Zip Code: 34aCID Fax:
Phone No. _151p1_!3Aq - 1105s E-
MaiI:9NINENSO L1.St^ aW-3-
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: NNke
Company: NL L.C,
Address: 2.S ZQ ti P&tbky%19 A�F_ iyx-r
City: _?WPOWD Wk" State: 1_7L
Zip Code: 33PL Fax:
Phone No qs A- 4 q -lupo
E-Mail P"'jTIC`=.r Ca�ryaC-�EPEa�F�1+�1��.CZt�v'1
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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