HomeMy WebLinkAboutBUILDING PERMITALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION To BE ACCEPTED
Date: a U -_ Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34992
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential, x?oo=
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PRQPOSED IMPROVEMENT'LOCA110N:
Address: ' 7 y /Pc
Legal Description:
Property Tax ID #. L/ [l - s-0
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED. DESCRIPTION OF WORK:
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CONSTRUCTION INFORMATION:
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Lot No.
Block No.
_ HVAC
Electric
(� Gas Sank
! Plumbing
[]Gas Piping
Sprinklers
to Shutters
O
O Windows/Doors
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Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor: _
Cost of Construction: $ _ U Utilities Sewer R Septic
Building Height:
OWNER/LESSEE: CONTRACTOR.
Name i-� l v, i,✓ E . y, r Name: John R Law
Address: i G t1a r ✓j VL. Company: Law's Electrical Service Inc
City: (Lf- State: v Address: 5158 NW Primm St
Zip Code: _2-,2. 7 c) Fax: Com: PT ST Lucie State: FL
Phone No. l,-1 (j rp 7 1 I lt, r2 / Zip Code: 34983 Fax -
E -Mail: Phone No. 772 370 4357
Fill in fee simple Title Holder on next page (if different E -Mail: johnlaw5158@aol.com
from the Owner listed above) State or County License: 29432
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.