HomeMy WebLinkAboutBuilding Permit ApplicationL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
ate: Permit Number:
Building Permit Application
lonning and Development Services
uilding and Code Regulation Division
300 Virginia Avenue, Fort Pierce FL 34982
'hone: (772) 462-1553 Fax: (772) 462-1578 Commercial
Residential L�
=RMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
gal Description
operty Tax ID #:
:e Plan Name
Lot No..2 _3 6_
Block No.
oject Name:
atbacks Front
Back: Right Side: Left Side:
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C,�GL�
❑ H VAC
11 Electric
U_ Shutters
11 Plumbing 0 Sprinklers F]Generator Roof pi
❑ Windows/Doors
Roof
)tal Sq. Ft of Construction:
ost of Construction: $ l , 000 .1--)0
,ddress
S Ft. of First Floor: _
Utilities: Sewer E]Septic
,it i �'� �� State:L
Y�
!ip Code:'/� crla _ Fax:
hone No.Li(),� ,,9-44
-Mail:
ill in fee simple Title Holder on next page ( if different
rom the Owner listed above)
Building Height:
Name:
Company: , --5,-
I(,
Address: ival 12,t1�1t a.1
City: 2-(Q State:
Zip Code: may' (41_ Fax: 9
Phone No. _ _r) l /�
E-Mail:3 ) QC � CA 0- CL'Y1L' _ / t�
State or County License: ,2 fp