HomeMy WebLinkAboutbuilding permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
dDIF
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
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: y rae_
Legal Description:
Property Tax 1D#: �Jo�7J_ 2�f ' f i�-�� - (�t7+L7- Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: :.eft Side:
LDETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION:
Additional work to be—ne-ft-r-rmed under t is permit-check all apply:
�HVAC -- Gas Tank E]Gas Piping _Shutters Windows/Doors
Electric LJ Plumbing U Sprinklers []Generator Roof Roof pitch
Total Sq. Ft of Construction: 5 . Ft.of First Floor:
Cost of Construction:$ L Utilities:0Sewer EiSeptic Building Height:
OWNED/LESSEE: CONTRACTOR:
Name M ti vq -- e eA c e; " •E' Name:
Address:`63 /,.a vie .�-K• ( � .,- �'� Campany: t.J� '<r
City: r Cc( Stater Address: Imow
Zip Code:3 903 Ll� Fax: y: � �
City: ,. •� c 5tate•�L
Phone No. LL 0,--k L Zip Code:, C'Utz Fax: L-1 Lr Y
E-Mail: Phone No. CC L(- S
Fill in fee simple Title Holder on next page(if different E-Mail: (.AJ a'Y re6 `.T t.-• [ /$c ,.
from the Owner listed above) State or County License: CAC,
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.