HomeMy WebLinkAboutst. lucieAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
4 LU! C,UL
n ' 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: '�f R/6. a r owe
Property Tax ID #: p, qo 31 1F0_1 Lot No. 1
115
Site Plan Name: aivi t;Zz, Block No.
Project Name:
DETAILED DESCRIPTION OF WORK: I
re
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 a (Roof Pitch
Total Sq. Ft of Construction: % r%i _ Sq. Ft. of First Floor:
Cost of Construction: $ Utilities: _ Sewer _ Septic Building Height: 1lq'
OWNER LESSEE:
CONTRACTOR:
Name
Name: I
-
Address: S'jl6 5TAO A✓tnyt
--jam
Company.
City: wit Ac,2C
Zip Code: Fax:
Phone No. 3He4CPO
State: ��
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Address:
2 9 1 � -
City: ; 2Ir�I�a i
Zip Code:
Phone No ��6 4�`f�
E-Mail
State: TL
Fax:
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Mail: "Y.11'� t a,�� '�r`n. rE.
Fill in fee simple Title Holder on next
from the Owner listed abov
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age (if different
_
ARL0S CORDER
to or County License
C 4 - CARLO CO
If value of construction is 251
If value of HAVC is $7,500 or
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, 2023
1-Fimission % GG 93f
ent is required. i„�y' MY Commission Expi
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