HomeMy WebLinkAboutBuilding Permit Application 7728710883 p2
Miranda plumbing 84 AC
ALL APPLICAS E INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
D ate: /I u, Permit Number.
-D JAN 2 9 2016
Building Permit Application
Planring and Development Services
2300 Virgfrio Avenue,Fort Pierce FL 34.982
Phone:(77Z)462-1553 Fax:(772) !462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Seleot from dropbox, click here
PROPOSEO IMPROVEMENT LOCATION'*,
veAddress: C -0i
Legal Description. -z t e-,(z 02 AJ
Property Tax ID 1�p 37 C-N-T Lot o.
Site Plan Name: Bloc No.
Project Name:
Setbacks Front_ B2ck! Right Side- Left Side:
DETAILED:DESCRIPTION OF WORK:
I.-A
CON RUCT- IO.N*INFORMATION:
Additional workto b ertormed under this permit—check all tb-al apply!
CHVAC Gas Tank 7(3as Piping FIShutters Windows/Door
Electric Plumbing OSprinklers Roof
Total Sq. Ft of Construction, SQ. Ft. of First Floor,
I ]Septic Building Hei ht:
Cost of Construction:$ 116 i Utilities: Sewer 9
OWNER/LES.S.EE- CONTRACTOR:
Addr (F Company:
C i t Y 'k Address: 75-0 Al') 110-7'f�eflei5l' Z)Ie4l"i 7�10'6
Zip Cod Voy Fax--, 13 City:
ZIP Code:
Stat
i�4-8 L
Fill in fee simple Title Holder next pag�rifalWere"nt E-Mail:-ol M ox) 0
from the Owner listed above) State or County License:J4:�� /4.,F r7'��
If Val e of construction Is$75oo or more,2 RE CORDED Notice of Commencement is required.
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