HomeMy WebLinkAboutBUILDING PERMIT ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building Permit Application
Planning and Development Services I
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
4 F
Address: C
Legal Description:
Property Tax ID#: 0 — 1 5- COD —�7 Lot No.
Site Plan Name: r Black No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
on �, 01 - L-1 Or- I
u�d A -Yon I4 SCCr 5 �-iolD Hmtec
1B"PI-TYoUSHI RA LiASI /VP\
AcIditional work to e e orme un er this permit—c ec a app y:
U� VAC f]Gas Tank ❑Gas Piping nn_Shutters ❑Windows/Doors
11 Electric 0 Plumbing []Sprinklers U Generator �Roof Roof pitch
Total Sq. Ft of Construction: '' nn S Ft. of First Floor:
Cost of Construction: $ FJ��U o Utilities:llSewer ElSeptic Building Height:
77777,..c,.
Name Name:
Address: Company: r
City: State: Address:
Zip Code: ail
— t City: State:_
Phone No. a — a"I 1 ' , 1 Zip Code: Fax:
E-Mail: Phone No.
Fill in fee simple Title Holder on next page(if different E-Mail:I a RA at Ll nff)at
from the Owner listed above) State or County Lice e: I
If value of construction is$2800 or more,a RECORDED Notice of Commencement Is required.