HomeMy WebLinkAboutBuilding Permit ApplicationLL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO E ACCEPTED
Date:
Planning and Development Services
Permit Number:
ber:
Building Permit AppflcaVon
Building and Code Regulation Division
300 Virginia Avenue, Fort Pierce FL 34952
Phone: (772) 452-1553 Fax: (772) 4-1578
Commercial
Residential
PERMIT APPLICATION FOR: To Select from r b x, click arrow at the encs of lire
PROPOSED IMPROVEMENT LOCATION:
Address:0 ,1' i.
Legal Description: P0G% b iii � ��" �TY�Sl, U'wz+/e UJ", . I IC7..0 i"M. lii�'ZS7'
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Property Tax I D : -� �- �-
Site Plan !arae:
Project Larne:
Setbacks Front
Back:
DETAILED DESCRIPTION OFWK:
Right Side:
Left Side:
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INSTRUCTION INFORMATION:
iti Onal work to be berfo-mmed under tes permit -c ec a apply:
OHVAC
pp y:
HVAC � Gas Tank Gas Piping Shutters
Electric Plumbing Sprinklers Generator
Totat Seq. Ft of Construction:
Cast of Constructions ...
Block o.
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aWindows/Doors
Roof
Sq. Ft. of First Floor:
Utilities: aSewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name '- "" Iare: :.
ddress: \c ' - T r
iter: 3� State: Address` GF?We;01L... � °� .�-
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P ..... - I States
Phone No. Zip Code: 3 9�& Fax:
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'hone No.
Fidl in fee simple Tale Holder on nextpage ' • 1 " ' P � "-) C_C�n
f different -Mail:
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from the Owner listed above State or County License: C 04Y
If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required.