HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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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: To Select from dropbox, click arrow at the end of line
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Address: i�
Legal Description: ( —
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Property Tax ID q: — — — Lot No.
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Site Plan Name: I
Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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Additional wor to e e Orme under t us permit— cneCK a appy: i
I�VAC ❑Gas
Gas Tank Piping Shutters Windows/Doors
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1Electric I� Plumbing Sprinklers I—J Generator Roof Roof pitch
Total Sq. Ft of Constructions: SFt. of First Floor:
Cost of Construction: $ OC It DP C Utilities: Sewer Septic Building Height:
Name V
Name:
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'Company:
Address:
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City: M Q nh i n'1 State:
Zip Code:�� Fax:
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Phone No.
Zip Code: q Fax:
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E -Mail:
Phone No —
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Fill in fee simple Title Holder on next page ( if different
E -Mail:
from the Owner listed above)
State or County Lice se:
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If value of construction is $2500 or more, a RECORDED Notice or t•ommencemem is requneu.