HomeMy WebLinkAboutpermit applicationALL APPLICABLE INFO + U T BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Gate:
COUNTY
R
Permit Number:
Building Permit Application
Planning and Development Services
Building and Cade Regulation Division
2300 Virginia v nu , Fart Pierce FL 34982
Phone: (772) -1553 Fax: (772) 462-1578
Commercial
Residential
PERMIT APPLICATION FOR: : T Select from dropbox, click arrow at the end of lin
PROPOSED IMPROVEMENT LOCATION:
Address: �007 N D�+
Legal Description:
Property Tax ID #l:
0l�
D
Site Plan Name: Block No.
Project Darns:
Setbacks Front
Back:
DETAILED DESCRIPTION OFWORK:
r
Y i a /0.1 J -V
CONSTRUCTION INFORMATION:
witionai wo
❑HVAC
Electric
o ae errormed
Gas Tank
Ful
Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $
Right Side: Left Side:
PC'�;TKrC (J)-kY
unaer tnis permit — ene
;Gas Piping
Sprinklers
Shutters
Generator
Windows/Doors
Roof
S. Ft. of First Floor:
Utilities: Serer Septic Building Height:
Raaf pitch
OWNER/LESSEE:
CONTRACT -OR:
Name1(ice/o V
Name:
Address: 90 7 � � F
Company:
City. Stat.Address:
Zip Code: 43 YQ Y2 Fax:
City: Stag:
_
Phone o N �`` �, .�
i d Fax;
p Ccs
E-mail:
Pyrone N.
Fill in fee simple Title Holder on next page if different
E-mail:
from the Owner listed above)
Stag or County License:
If value of construction is $2500 or more, a RECORDED RDED Notice of Commencement is required.