HomeMy WebLinkAboutBuilding Permit Application (2)Residential Commercial
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
LESS OWNER
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TOBE ACCEPTED
Permit Number:
COUNTY
Building Permit Application
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION
Address: flq\—•) Scv1Q iL-
Legal Description: \['Lt cLLO (3 .Sa uo qQ\o± c\O
PropertyTax ID#:
Site Plan Name: -J&\
Project Name:
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Setbacks Front Back:
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HVAC U Gas Tank [iGas Piping
U Electric LI Plumbing [Sprinklers
Total Sq. Ft of Contruction:
Cost of Construction: $ qqj-
CONSTRUCTION INFORMATION
AddØpnal work to be P under this permit - check all
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Liii Windows/Doors
F] Roof Roof pitch
Date:
Lot No.
Block No.
Right Side: Left Side:
Utilities: L..JSewer
Sq. Ft. of First Floor:
LEt SItRuiIdin Height:
TUF
that apply:
Shutters
I Generator
DETAILED DESCRIPTION OF WORK
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1r'r
City: P(3(c-
Zip Code: 73 q0t Fax:
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page if different
from the Owner listed above)
Name:
Address: \\-U (\u ScLLQ
City: 9 (' caf State:
Zip Code: 3OCS
Phone No.
E-Mail: çyv
State or County License:
Name
Address: Company: W
Fax:
State: