HomeMy WebLinkAboutSPECIALTY PERMIT APPLICATIONFee Due: T Recgi t# Permit #
Planning & Development Services
i Building & Code Regulations Division
OUNTY 2300 Virginia Ave.
• I , A Fort Pierce, FL 34982
(772)462-1553
SPECIALTY PERMIT APPLICATION a!a
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❑ electrical ❑ Plumbing ❑ HVAC. 0 Fence
Shed ❑ Demolition ❑ Gas ❑ Sidings
Seepage 2 for instructions and additional paperwork required for specialtypermits C13 K` N VO S
1. L cation/Site Address:
s r 2 046
2. P � Ireel ID Number:
5-- 2 0 L-
Township Range Map Page Zoning Land Use In
Office Use
Section
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3. C
mple a escription of Pro ect or ork: ro r
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4. O, i rners Information 5. Contractors Information
Nam I I Q e , FL Reg/Cert #: ��� a-S 77 3
Addr �ss: '°�s% ' County Cert#: �G/ �O
City: I� G 70 ate: Business Name: ��� 1 ,�` ( Lz)—no
Zip: a Phone- � Phone- 7?Z.-�43-01 u Sr Fax: H
6. Vol ue of Construction: $ O �J
AFFIDAVIT: 1 certily that all of the mtormatlon contained if
compliance with all applicable laws regulating
NF7�e'ONTR ArT01? NAFIF— // . . CirN A-1
STATE OF FLORIDA, COUNTY OF oi'� ��ylitXx
ACKN VV LEDGED BEFORE ME THIS DAY OF
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WHO I PERSONALLY TTO ME OR WHO HAS F
AS I IFICATION. ((�wv//
s correct and that all work will be done in
zoning��
WNER CONTRACTORco
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BY
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OF NOTABLY V gYPE OR PRINT NAME OF I7TARY
TO OWNER: FAILURE TO RECORD A ' NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR' PROPERTY. IF 'YOU INTEND' TO OBTAIN. 'FINANCING, CONSULT WITH YOUR
LENDER OR AN, ATTORNEY BEFORE'.RECORDING YOUR NOTICE,OF COMMENCEMENT.
EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $7500.00
04126/2010
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