HomeMy WebLinkAboutattachment 1.pdfAll APPLICABLE 1
Date I z ��-1
NFI] MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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nt°riiiit Number:
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Building Permit Application
Planning and Development Services
BurJding and Code Regulation Drvisian
2300 Virginia Avenue, Fort Pierre FL 34982
Phone: (772) 452-1553 Fax. (772) 462-157$
PERMIT A
PPLICATION FOR:
Commercial
CBDG Funding
PROPOSED IMPROVEMENT LOCATION
Address:
Property Tax 1 D #
B�Vd., Jen�.n Beams^, F�, 34457
Residential
Lot No.
Site Plan Name: Block No.
Project Name:
me:
DETAILED DESCRIPTION OF WORK:
�e'v 10. Q, P,&i
J
+O� A-Ic�SVSftJK w/nrw
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 _ _ poll(]
Electric
Plumbing
Total . q. Ft of Constrtjction'
Cost of Construction: $ q,
OWNER/LESSEE:
ine
Address: Y13 ?1wMtS 810-
citv.
Zip code: Sq IS 7
4r►Sitn 8t&zk
Fax:
Phone Nv,�e 1r 717r`���
�
Mail: Abra- L003
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Sprinklers
Generator
Sq. fit. of First Floor:
Utilities. Sewer _Septic
State: _R
F-
CONTRACTOR:
Roof Pitch
Building Height:
Name: )oLsopi dark
Company-(itlij Ir Zhu..
Address: III N 13'rlk
City; bXAi"0k. State- FL
Zip Code: 33461 Fax: -
Phone No
E-MailAir Q aMLU'i_�pw'1
State or County License C.At—
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.