HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE.COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
- i ,_j.
_ - - 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: ,I
PRC3P®SED t'N//�P'RQl/E/MEANT LOCAT/I® ,
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Address: to 6 f �, %� / �d ��7 7 /_b � ! !% G� / �. I� 3 � 9�v?
Legal Description:
Property Tax ID.#: ��10 770W _2Lot No.
Site Plan Name: Block No.
Project Name:
.'�Zeft
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Setbacks Front Back: 0 Right Sid Si(__
DET�41`LED DESCRIPTIONO V1/®�RK: .« r
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CONS TRUCTIO'N INF®RMATI®N:
Additional work to be performed under this permit –check all that appy:
_Mechanical _ Gas Tank —Gas Piping —Shutters _W inclows/Doors
Electric _ Plumbing Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ Utilities: Sewer _Septic; Building Height:
OWNER%LESS EE: GO.N TRAC i @
Name Crr–A 4-1,(_Name:
Addres \S Company:
City: KL�State: A2)y Address:
Zip Code: fx: City: State:
Phone No. Zip Code: Fax:
E -Mail: Phone No
Fill in fee simple Title Holder on next page ( if different E -Mail
from the Owner listed above) State orCo ty License
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.