HomeMy WebLinkAboutBuilding Permit Application (2)ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit dumber:
BuildingPermit Application
PlanningPlonning and Development Services
Building and Cade Regulation Division
2300 Virginia Avenue, Fart 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
P P QED IMPROVEMENT LOCATION:
Address: ' i �)_' .
�a ILegal Description...�
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Property Tax ID # : 4 . Lot i .
Site Plan Name: Block No.
Project Name.
Setbacks Front Back. Right Side: Left Side.
DETAILED DESCRIPTION OE WORK:
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CONSTRUCTION INFORMATION:
Add rtio' na erk to be Pe erme urs er t pis permit— c ec a i2 app
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HVAC Gas Tank Gas Piping Shutters Wind s, Doors
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Electric Plumbing Sprinklers Generator Raaf Roof pitch
Total Sq. Ft ofConstruction: Sq. Ft. of Fiat Floor:
Cost of on trru tion:, � '� Utilities. Sewer Septic Building
Height:
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CONTRACTOR:
Name:
Narne—LI 0 C�. Uk -v
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from the Owner listed above)
Mate or County License.
If value of construction is 00 or more, a RECORDED RDE Notice of Commencement is required.