HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE IVIED MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number.%
Building Permit Application
Planning and Development Service.
Building and Code Regulation Division
2300 irgin a Avenue, Fart Pierce FL 34982
Phone: (7 2) 462-1553 Fax: (772) 462-1578
Commercial
Residential
PERMIT APPLICATION FOR: To Select frr dropbox, click arrow atthe end of line
PROPOSED IMPROVEMENT LOCATION:
Address:
Legal Description:
vie C"IQ
Property T x ID #: Lot No.
Site Plan Name: Bloch leo.
Project Name=
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION I F M TI
iditional work to
❑HVAC
Electric
ie Perrormea
L—I Gas Tank
Plumbing
under this permit — check a
❑Gas Piping
Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 9 50o
ppjy:
Shutters
LJ
Generator
S. Ft. of First Floor:
Utilities:Sewer —5eptic
LlWindows/Doors
0 Roof
Building Height:
Roof pitch
OWNER/LESSEE:
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Zip Code: .�' �� Fax.
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E-mail:
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FElI in fee simple Tale
Holter on next page if different
E -Mail: _ '��� *� � �hoo,
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from the Owner listed above
State or County License: &F -C 1 4-� 9 0 1
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.