HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: f Li 013- 0�UC�
-- �� r 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: �/� � j�E�7- u_ �Vi9Nr�" 7
Man.
Address:
Legal Description:.
Property Tax ID#: o I.0023, ONOCR�l Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
_ I
�r 69
Additional wor to a pe ormed under this permit-check a t at app y:
_Mechanical Gas Tank —Gas Piping _Shutters _Windows/Doors
Electric Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq.Ft of Construction:
s� Sq. Ft.of First Floor.
Cost of Construction:$ zw. �d Utilities: _Sewer Septic. Building Height:
Name cJ 0. S Name:
Address: *Q r
City: , . State:' ;Address:
Zip Code: y��� Fax: '' " 'city: :,; State:
3
Phone No.-2-70- SCS ,,,::,-,` �r ,i,
a, Fax:
E-Mail: /�-IE "Phone Nv' �x r► T _
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.