HomeMy WebLinkAboutWilds Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: fc . W • 1 L::�' Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial V ✓ Residential I0
PERMIT APPLICATION FOR: Other 0 I
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Address:-I�i't� �C-eaf"� '1'- (� i
Legal Description: N'to-� z)0J'61r5 �UY\G1011'i1 fly LU'Yl A u il, ((�� q and
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Property Tax ID #: 3535 • —(0 I • 00-7 7 000 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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CONSTRUCTION INFORMATION: 1
Additional work to be erformed under this permit -check all appy:
HVAC Gas Tank DGas Piping In Shutters Q Windows/Doors
Electric Plumbing Sprinklers 0 Generator Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 2500.00 Utilities: Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name 0-R.me S W 1 3
Name: Kim Wilson
Address: 13 log 'Ll nk-S C!i'
Company: Premier Plumbing & Air LLC
City: Cly D - State: N11
Zip Code: Fax:
Phone No.
Address: 108 NE Dixie Hwy
City: Stuart State: FL
Zip Code: 34994 Fax: 772-692-1094
Phone No. 772-692-2500
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: preplbgac@gmail.com
State or County License: 25222
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.