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HomeMy WebLinkAboutRodabaugh app pg 1All APPuCABLE INFO MuST BE COMPLETED FOR APPuCATION TO BE ACCEPTED Planning and Development. Services Building and Code Regulation Division Permit Number: Building Permit Application Commercial 2.300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding Residential *_. _____ Address: _3|C)S PchtJL Yaenc;h \.r\_: propertyTaxlD#:2rm_S-los-f`C)ts!|-C Site Plan Name: I EL 5uc\s Project Name: Rochle LotNo._ _S3 _ .BlockNo. 1\ DETAILED DESCRIPTION OF WORK: New Electrical Meter Second Electrical Meter (Affidavit required) CONSTRUCTION INFORMATION: Additional work to be performed under this permit -check all that apply: £Mechanical _GasTank _Gaspiping _Shutters _Windows/Doors _Pond _ Electric _ Plumbing _ Sprinklers _ Generator Roof Total Sq. Ft of Construction: Cost of Construction: S Sq. Ft. of First Floor: Pitch Utilities: _Sewer _Septic Building Height: OWNER/LESSEE:CONTRACTOR: . - , \ `..-.. -. -• - t u'. - I--.,-.``--Company: tt)=s+ A`r . \~Address:T3§ELi=Si3"tv`rfusfhaD\TAN+ City: ifaL state: Ill. Zip code: Sqqs?. Fax: :jipty;o=:aAI3riou±Ou#i Fax:'T|i,S£:t£:.ffip' .. --., .-,. -,. ..--`.„ ." Phone No `lTL-2J32- 11 lu FillinfeesimpleTltleHolderoinextpage(if different E-Mail \C\cO.hooesha``rt.r`f_. clam from the O`A/her listed above)State.or county ucensec\J]r r)fEIRInQ lf value of constrtictlonlfvalueofHAVCIs$7,5 ls 2500 or more, a RECORDED Notice ®f Co00ormore,aRECORDEDNotlceOfCommemmencement Incementisreq s requlred.ulred.