HomeMy WebLinkAboutbuilding permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12-29-17 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 x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION: r
Address: ✓4 " Fcy 4
Legal Description' T xs
CEGM MN07SECE7X)28F.THSLY IV 5 FT.TH N89DEGM MIN 07 SECW7NWF THN ODEG 13MN33SECWAGNEWELYR LI H/V.IEY RD IV FT TO P (30 q(OR% 18)
Property Tax ID p: 2428-331-0001-130-4 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Hook-Up City Water
CONSTRUCTION INFORMATION:
Additional work to be nertormed under t ispermit—check all apply:
❑HVAC Gas Tank Gas Piping _Shutters ❑Windows/Doors
11 Electric �Plumbing Sprinklers �Generator �Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction: $ 500.00 Utilities:llSewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Name:
Address: I Company- AJI City Plumbing Two Inc.
City: If, State:FL Addr C 9 2 OtO41
Zip Code: 34981 Fax: City: State:FL
Phone No. Zip Code: 34988 Fax:
E-Mail: Phone No. 772-828-1331
Fill in fee simple Title Holder on next page(if different E-Mail: holly@allcityplumbingtwopsl.com
from the Owner listed above) State or County License: CFC1427492
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.