HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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FR 1.. O R
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 _ Residential V
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line III
I PROPOSED IMPROVEMENT LOCATION:
Address:
Legal Description:
Property Tax ID #:
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF jWOyy RF�K:
c,)'S '4G✓1 yv eSi irlr7z-n j- tckaSe- 'S 1C
I q Seer
I CONSTRUCTION INFORMATION: III
HVAC Gas Tank E]Gas Piping LJ _Shutters Windows/Doors
Electric 0 Plumbing ❑Sprinklers Generator Roof = Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ Wpo' GU
S Ft. of First Floor: _
Utilities:llSewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name .30 Vl+7 k-CACad
Name: Wlchge.1 j�t17-?1
9
Address: SQ O 1 y., ,v, Sed (31Qa
Company: 6- MS Sl ee t Vr,e 6
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City: 1'f, PLecc-e Statef
Zip Code: Fax:
Phone No.
Address:
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city: -PC, I C 1
Zip Code: 3r 1 1 % U Fax:
Phone No. "i % Q_ Q R Ci J
State
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E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: hee-4-rr,e_1-.1 Q
A C, lnc. . e o m
State or County License: LAC,1
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If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.