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HomeMy WebLinkAbout1Robert-mcmenamie-permit-application .pdf All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 3 11) 1 a © aa- Permit Number: S- LL!(mg G c Jr l , r �. Building Permit Application Planning and Development Services ✓ Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-15S3 Fax: (772)462-1578 CBDG Funding PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Address: Cloa-o� ff)�N CYli7 C (- Lue, Q . Ft 3y17 Property Tax ID#: 3 3 zg'-{ - S O1_ 01 -73 - 660 - G, Lot No. Site Plan Name: MC enQmIe-- Block No. Project Name: DETAILED DESCRIPTION OF WORK: ouep O CA y - 6 - Qac NP LL) 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 _ lumbing _Sprinklers _Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ {I ��� . C D Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name b i P- Name: 'o L� Z Address: q0 Soh Af--4 OV)t? Off- Company: CA �r City: c} SCIrnA LJC're State:_Ft, Address: 53q )V\AI M'pr(cfo-SIP P Zip Code: C<-(o Fax: City: Vr - - C-�,0 m-) /. oc I-e State: Phone No. 'na,-,370- S5,-70 E- Zip Code: 3L)CfcK-(rp Fax: Mail: Phone No 773t - ao1Dr} - SS70 Fill in fee simple Title Holder on next page (if different E-Mail 0 I I ci cDL- { 0 from the Owner listed above) State or County License To yS 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.