HomeMy WebLinkAboutBUILDING PERMITAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �A_.t_---- 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
PERMIT APPLICATION FOR
Address: �,V �
Legal Description:
Property Tax ID 4:
Site Plan Name:
Project Name: _
Setbacks Front
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Back: Right Side: Left Side:
Residential "
Lot No.
Block No.
rauwuunai wvirc w ve Pen Urmeu unuer uus Permit—cnecrc all cnal apply:
_Mechanical _ Gas Tank _ Gas Piping _Shutters _ Windows/Doors
_ Electric _ Plumbing _._. Sprinklers _ Generator _ Roof ._ Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ } !�,` fi(. Utilities: Sewer Septic Building Height: __...... .
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
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Name�II C) iii
Address: F-1kMjL_ �vZc �!
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Name: �(N
2Ccks
Company: 61CO 60`rd. E.�C:t�U kvNc�
City: State-:�L
Zip Code: _-5`i�1 Fax:
- - .... _
Phone No.
Address: io�5� ' U-0 QC�C� �c • S-A` C7
City: �VQ qtr ___ State:V_
Zip Code:.'3'7_NS`a' Fax:
Phone Nos' l'" 1q_1 "(YPS(P
_
E -Mail:
Fill in fee simple Title Holder on next page I if different
from the Owner listed above)
E -Mail Y)Af6btO& `nKk
State or County License GL�2jQ3\141
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.