HomeMy WebLinkAboutpermit applicationALL APPLICABLE INFO MUSS' BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Permit Number:
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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 Residential )Qw=
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION;
Address: _ �^% % �l✓ �l r, J v
Legal Description:
Property Tax ID #: _ _ j-/ S�U _ �`p j - 0 s- G1
cr. _ Lot No.
Site Plan Name:
Block No.
Project Name:
Setbacks Front Back: Right Side:
Left Side:
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION:"
-
Additional work o e orme , under this permit - c e
a a!�-rs
HVAC nGasTank OGas Piping
ZElectric
SWindows/Doors
n Plumbing QSprinklers
a Generator ORoof
Total Sq. Ft of Construction:
So. Ft. of first Floor:
Cost of Construction: $ /fJ�r J "� Utilities-_ Sewer a septic Building Height:
OWNER/LESSEE:
CONTRACTOR;
Name
Name: John R Law
Address:_ _ C'% 3 /%/�}'��1l �,i
Company: Law's Electrical Service Inc
City: _ `fie"s t -n O c, L State: J:�j
Address: 5158 NW Primm St
Zip Code: '2 t-f I S- -7 Fax:
ctty: PT ST Lucie State: FL
Phone No.--,i -' 7 S-- - S`G y ((.2- J
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.