HomeMy WebLinkAboutBuilding Permit Application - Finley (1) All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
- 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:
PROPOSED IMPROVEMENT LOCATION:
Address:
Property Tax ID#: a l - 3 11- Lot No.
Site Plan Name: Legal Description
18 36 41 THAT PART OF N 223.11 FT OF S 323.11 OF N 525.11 FT OF
Project Name: r.U GOVT LOT 3 LYG E OF E R/W OF FEC RR-LESS RD R/W-(5.16 AC)(OR
1337-1860)
DETAILED DESCRIPTION OF WORK: I
1
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:_
Additional work to be performed under this permit-check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond
Electric _Plumbing _Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ �-J Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name i�__ C_V- Eck Name: )cL,L/-r--c 5 �. 1��z)
Address: _S'n S 3 S .� a�c� �; , ,der �� ,� Company: --) )vv- ?2 v-u 6 c- k- i'Ly 1 C�
u �c
City: FFU-�- F'i r e r c State Address: >>S 0 C ��1� C_ r {_
Zip Code: Fax: -� City: State: '1 C
Phone No- `��1 Z� 2.o - 1.3 E- Zip Code: .3'-( `I S- -Fax"` ` / z_- L(3
Mail: Phone .o- Y u 5-- S 3 3 3
Fill in fee simple Title Holder on next page (if different E-Mail 1 h S 3 :3 3 cep v-)
from the Owner listed above) State or ounty 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.