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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INF© MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED D. C(Dt:I NTY Permit Number: 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: -` � (..C, C, �v l y 1 U j Legal Description: Property Tax ID #: �` k3 z - C07. -- ow - Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Laft Side: DETAILED DESCRIPTION OF WORK: 0-i C- V-1 cam rod r J CONSTRUCTION INFORMATION: MUUMUI,dl WUIK LUriormea unser Enis permit- Ci 1:1UC e HVAC Gas Tank E]Gas Piping 11 Electric 'Plumbing Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 3Coo� IJ Shutters Q Windows/Doors 11 Generator 11 Roof Roof pitch SFt. of First Floor: . _ UtilitiesSewer Septic Building Height: OWN ER/LESSEE: CONTRACTOR: Name �� " c c n . Name: -t LIJ Address: I'�� Company: W.; +le- City: I t e `ce- State: FZZ Address: C31 e_ c ,,•-fir- Zip Code: Fax: City: • e r'l,-L- State: Phone No. -7 `� - a - -7 -F-4 Zip Code 3`'( Fa x: (A G L( --_( i a -7 E -Mail: Phone No. '� 7 Cov —'a: Fill in fee simple Title Holder on next page ( if different E -Mail: C0: 17T,Y pa,/)z , from the Owner listed above) State or County License: -Ci 15R 1 Iva,uo uwn F ULLIUn I5 ?,ewu or more, a KLLUKULD Notice of commencement is required.