HomeMy WebLinkAboutbuilding permitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:S'•'�'.% /L9 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) 462-157B Commercial Residential ✓"
PERMIT APPLICATION FOR: To Select from dropbox, clic[ arrow at the end of line
PL iP05ED gW 11 :;
Address: `/3 Qn i /i4yetwii
Legal Description: ;Pivr,A - �lnr'-� 2i c�/K EYI on bay �i cd�3
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Property Tax to R: 9-.��JO-DU7in, -000-7 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Froni Back: Right Side: Left Side:
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11 HVAC Gas Tank 0Gas Piping Shutters Windows/Doors
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Electric lumbing Sprinklers I,.,�Generator Roof Roof
11 E P
pitch
Total Sq. Ft of Construction:5pFit. of FirstFloor:
Cost of Construction: S /«'}5dob UtilkietSewer[]Septic Building Height:
Name ne. 'n
Name:
Addre ` I-an
Company: N�-1-F Piy-tn)i ..
City: " °/E State: F'/
Address: 910 Jeri 5.
City: �Iero c.>✓ State: FL
Zip Code:.'?VgR5 Fax:
Phone No. 77a "yci (;," 98f)
Zip Code: Fax:-1-7'a1-10•
E-Mail:
Phone No. i"T a, •-7 g 31a
Fill In fee simple Title Holder on next page ( if different
E-Mail:
State or County License: GG C_ (04 Ga-L3
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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