HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 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
PERMIT APPLICATION FOR:
Address: 7 3 _51A n P) 49)If-0 ,
Legal Description:
Property Tax ID#: /°._0J Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Additional work to be performed under this permit—check all that appy:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construc.ion: Sq. Ft.of First Floor:
Cost of Construction:' � Utilities: Sewer Septic Building Height:
Name Name:
Address: SiarrA=-) 0,0--A 4343cf, Company:
City: �" 15""M C. State:,Ft Address:
Zip Code:_��2 Fax: City: State:
Phone No. Zip Code: Fax:
E-Mail: <,-*k /I n Rte' Phone No
Fill in fee simple Title Holder on next page(if different E-Mail
from the Owner listed above) State or County License
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.