HomeMy WebLinkAboutsettle permit page 1ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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: To Select from dropbox, click arrow at the end of line
PRO �,',,VEE[T ItCA`IC�U.
Address: Xw("f (iia-_ Ir eco p
Legal Description: /
Property Tax ID #: SL (o 66 `CJN Ow Lot No.'LS 5' 2_j�,
Site Plan Name: Block No. 1'?
Project Name:
Setbacks Front Back: Right Side: Left Side:
Go_f,,)c,(( 0 r4-. +0 3 f vc
I HVAC
❑ Electric
❑ Windows/Doors
❑ Plumbing Sprinklers 1:1 Generator 1:1 Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor: _
Cost of Construction: $ //� 0 Utilities: Sewer OSeptic
Name W ilir
Address'. ;6 jq' �,' i(V` �fi— C3 j2r_t� e -
City: State: Pa.
Zip Code: �`^ c Fax:
Phone No.
E -Mail: �'—/�• �# t'^�tc'� i f� �C..
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Building Height:
Name: C6(u E ie.c4-!—tc.- %op Gir.•" l ��
Company:
Address: ; 616
4,� �/1i1� n. � Cry ✓! caves
City: State:
Zip Code: flz( Fax:
Phone No. �7 f ? -- ��i — LCA
E -Mail: Cu 0.('sC'S qL (::?y.atot, L-
State or County License: (( 13002--? 7"-)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.