HomeMy WebLinkAboutbuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: cJ-U �� Permit Number:
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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
PEKMI I APPUCA I ION FOR: To Select from dropbox, click arrow at the end of line
PROP ?SEU IMPKOVI=ME_N I LOCAI IUN: _
Address: --- - �J� 0 116'11rX'r1L adv �Irlw
Legal Description:
Property Tax ID t#: Ald ll '%Z - 000 - C00 -3 Lot No.
Site Pian Name:
Project Name:
Block No.
Setbacks Front Back: Right Side: Left Side:
LN: IAFLEU UESCKIPIION OF WORK:
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CONSTRUCTION INFORMATION:
Additional work o flGasTank
rme un er is permit — c ec a app :
HVAC ❑Gas Piping _ Shutters ❑ Windows/Doors
[]Electric 11 Plumbing Sprinklers Generator F-1 Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ t�
Sq. Ft. of First Floor:
Utilities: O Sewer OSeptic
OWNER/LESSEE: J CONTRACTOR:
Name "I/ e 12&U�A.d,, 1f1/&11_Zte_1U
Address: loe
City: 2,2fe 41State:
Zip Code: /ic�r�t'� Fax:
Phone No. 7%d �%/ '%7/ -
E -Mail:
FII in fee simple Title Holder on next page ( if different
from the Owner listed above)
Building Height:
Name: CUVCCT(S �YAapy\onS
Cam pang: C u s 7o m Ar- stems l ru (,
Address: 14 15 6 V1 l 1 d4 -e C r e(f r1 p
City: lav P -T St . L ucc f State- r -
Zip Code: 3.+? Fax
Phone No. 7-1a, 33:5_ -3132-
E -Mail:
3S -3232E -Mail: Cu stctitr Sys -P cco1 Cavr�
State or County License: C C' 5 ( F 0
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.