HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE, 6WF® R6U,(�ff BE CGMFL[�-a00) FOP, APPLUCATOO 2 70 DE ACCEPTED
Date: Permit Number:
•
Pei° oR App aC U0) R
Planning and Development Services
Building and Code Regulation Division
13W Virginia Avenue, Fort Pierce FL 34981
Phone: (772) 462-1553 Fax: (772) 462-1578 CornnnercW ReSIdentia t
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION: l
Address:
Legal Description:
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Property Tax ID #: :3 L.(J f — :5�^lCD —()()-3L' C)C) — Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
—c,ecK an rlanoiv:
i3HVAC LJ Gas Tank ❑Gas Piping
Electric Q Plumbing RSprinkiers
Total Sq. Ft of Construction:
Cost of Construction: $ 761 _
LJ Shutters
0 Generator
Windows/Doors
CRoof
SQ. Ft. of First Floor:
Utilities: Sewer ElSeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameOYAn
Name to
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Company:'W --�• �' 6 r��l a t • •-
City: � �-� State: 6�
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Address:
Zip Code: ``t Fax:
City: • e rr-[ Stater
Picone No. `7 t CD
Zip Code: 3,-t,:?,zFax:
E -Mail:
Phone No. (4 ca L( or
Fill in fee simple Title Molder on next page ( of different
E -Mail: c z , -"C- Cc-bpJ `A 1I c
fyam the Owner listed above]
State or County License: C IF51 3 (e
it value or construction nz�zsau av hiam, a RECORDED WoUce of Commencement Is required.