HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR PLI TI N TO BE ACCEPTED
Date:
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Permit i umb r:
Building Permit Application
Planning and Devefopment Services
Building and Code Regulation Division
2300 Virginia Avenue, Port Pierce FL 34982
Phone: (772) 462-1853 Fax: (772) 462-1878
Commercial
Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of lire
PROPOSED IMPROVEMENT LOCATION:
Address: 0,� c
Legs [ Description:
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Property Tax I D : � �� ,,,. 005-. O' " �f .����Lit N.
Site Plan Name: Block o.
Project [erne:
Setbacks Front
Back: Right Side:
DETAILED DESCRIPTION I F WORK:
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CONSTRUCTION 1 F 1 1AT1
Left Side:
Iditiana work to be per ormed under t is permit— c�ec all apply:
HVAC � Gas Tank Gas Piping ❑Shutters � Windows/Doors
Electric Plumbing Sprinklers � Generator � Roof �- Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $
Sq. Ft. of First Floor:
Utilities: Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
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Name fekdP,
Name: IvAl u�,�-
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Address: _
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City: Pjegs�o C Stat : l
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Zip Code:..� Fax:
E -Mail -,Phone
Phen I.
Fill in fee simple Title Holder on nem page if different
E -Mail:
from the Owner list t above)
State or County License:
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It value of construction is $2500 or more., a RECORDED Notice of Commencement is required.