HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: old I 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: e—ult 4Et
6
Legal Description:
Property Tax ID#: 007) —"O b Dv - Lot No.
Site Plan Name: Block No. .
Project Name:
Setbacks Front Back: Right Side: Left Side:
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rt:-mr1oh'al work to be performed under this permit 01heRkaUthat.app
y:
Mechanical _Gas Tank _Gas Piping _y$,hutters _Windows/Doors
(.Electric _Plumbing _Sprinklers ` Generator _Roof
Total ,q.: ,,t of Construction: Sq ..Ft::of'First Floor:
Cost of Construction:$ ��o �'� Utilities; Sewer _Septic Building Height:
Name W " 4- Gf,Lowr �� rr✓Vvl Name: � f hL.
Address: 1 O� � r�.Cf -7 Company: �wN-sv
City: 6\1 ��L State: P Addresses 3�� 2�+q hP
Zip Code: ;�qq(o Fax: City: F- 'A/ w State: FL
Phone No. %2f 30� - 4rae-7h Zip Code: 3y!Y:7 Fax: (,G-D�S CJD
E-Mail: Phone No.
Fill in fee simple Title Holder on next page(if different E-Mail: WL�_ek 1_7 1� t" 0 4 n I, u-►^^
from the Owner listed above) State or County License: . C20
If value of construction is 2500 or more,a RECORDED Notice.of Commencement is required.