HomeMy WebLinkAboutstorage 1 ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number.
- - Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 Residential
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Phone:(772)462-1553 Fax: (772)462-1578 Commercial
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the and Of line
PROPOSED IMPROVEMENT LOCATION:
Address: u l
Legal Description:Property Tax lD#: �� L`� _ � " cuo —2) Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: heft Side:
DETAILED DESCRIPTION OF WORK:
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CONSTRUCTION INFORMATION:
Addiflonalwar to e r biif un er this permit—c ec a Opp Y:
0HVAC be
Tank ❑Gas Piping Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers
Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ C Utilities: Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name 7 e� L-C Name:
Address: ,. '•' . i
;Z "�'�..sr� �� c-.r -Z Company:
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city: �� . c State: Address:
, Stater•
Zip Code. �"I cfS Fax City: 1�
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Zip Code: 3J L- � Fax: L1 tog — 1 7
Phone No.
E-Mail: Phone No. J(�
Fill in fee simple Title Bolder oil next page[if di fei ent E-Mail; Wu L4 "r(ad Ali,,
from the Owner listed above) State or County License:
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.