HomeMy WebLinkAboutpermit applicationANLL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit (umber:
Building Permit Application
Plonning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462- 578
Commercial
Residential
PERMIT APPLICATION FOR* To Select from dre box, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address:
Legal Description:
Property Tax l :
Site Plan Hare:
Project tare:
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Setbacks Front Back: Right Side:
DETAILED DESCRIPTION OF WORK:
:
CONSTRUCTION INFORMATION:
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❑HVAC
Electric
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rtorrned
Gas Tank
Plumbing
Total Sq. Ft of Construction:
Cost of Construction:
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under this permit —the
❑Gas Piping
Sprinklers
Lot No.
Block No.
Left Side:
an Inal ppi :
Shutters
❑Generator
Sq. Ft! of First Flour:
Utilities: Sewer Septic
QWindows/Doors
DRoof
Building Height:
Roof pitch
OWNER/LESSEE:
CONTRACTOR:
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Name. .�
Address.
Company:if I{ r,
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Zip Code! Fax!
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City: _.'�A P `� State:
Phone No.
Zip Code! Fax:
E -Mail:
Phone No. '� f 0
Fill in fee simple Title Holder on next page if different
E -Mail:
from the Owner listed above)
State or County License:
If value of construction is 500 or more, a RECORDED Notice of Commencement is required!