HomeMy WebLinkAboutBuilding Permit ApplicationED
ALL'AMOCAKE MAO) MUST so CSC RfJ0VL2_CE0 ram 21PPLCQQ720M To ME ACCEPTED
permit Number:
Date:
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Planning and Development Se"Vices
aunding and Cade Regulation Division
2300 Virginia Avenue, Fort Pierce Fr' 34-9ffi2
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Phone. (772) 452-1553 Fait: (772) 462-1578 Corr mercW _ Residential
FER�i�M APPLICAaMN FOR' -ra gqdga� fMM drapb®x, cdit avraw at the egad of line
PROPOSED IMPROVEMENTLONo
Address•- 1,
Legal Description°
Property Tax ID #: � — "' _
Lot No.
Site Plan Name-
Black No.
Project Name:
Setbacks Fronk Back: Right gide: !eft Side:
E I' ILE DESC IFIMN OF WORK:
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CONSTRUCTION INFORMATION:
rtiona wor rrrn� un er s perm ry - e a apply:
�HVAC b=Tank ®C;as Piping
ShuttersL
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Windouys/Dnars
LL iectrlc Plumbing OSprinklers L-,,Jj Generator
Roof
TOW Sq. Ft of Construction: . Ft. of First Flow.
Cast Of Construction: E.2 Utilities:_ Sewer 0 Septic Building Heiglv4:
0WHERILE EEo CONTRACTOR:
Name-&-a-Name:
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Address:
Company. c,
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City: err State:
Address:
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Zip Code' S ,. Fax:
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State: }=�
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Zip Cade: 3 L ''-c•S
Fax: LT(, Ll - I 1 a —7
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E -Mail:
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State or County License-
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