HomeMy WebLinkAboutBuildingPermit Application Page 1- ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2-2-18 Permit Number:
•Le 10
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34981
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
A`Irlrncc• ' 3
Legal Description: Z Z--'Ro T 1^ .S�^
RMb K LWAJ AS PILE tTEW—7D1LKSI lU£3-1R44SE L -0Lb6t, 3 U Q C1— 8 .
PropertyTax ID#t: ,3 3�� 233-0(ap�^�Q' t3 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION:
^Iona wor to eel orme un er^permit—c check a apply:
nnUHVAC LJ Gas Tank LGas Piping LJ Shutters L(windows/Doors
11 Electric Z Plumbing Sprinklers U Generator L1 Roof Roof pitch
Total Sq. Ft of Construction: nn 5 Ft.of First Floor:
Cost of Construction:$ )1 3r, •V('p UtilitiestSewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Name: U
Address: Company: p
City: mia(w 1. State: Addr 0 � Qrr/r
Zip Code: 03 13 ( Fax: City: DJ?fyq+ r,j^Le State:T_C.
Phone No. J05— rJ' 7Q—ZWO Zip Code: .34'19P Fax:
E-ividil: Plruriv Nu. -I ]O�—103 1-30-3L5
Fill in fee simple Title Holder on next page(if different E-MailAI) in, a I t
from the Owner listed above) State or County License: C FC)t)It L4
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
�l 11