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:
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I--.,-.``--Company: tt)=s+ A`r . \~Address:T3§ELi=Si3"tv`rfusfhaD\TAN+
City: ifaL state: Ill.
Zip code: Sqqs?. Fax:
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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.