HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: S ��� I$
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Commercial
Residential
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Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: su n Sl)l-n Ntau=
—r)y
Legal Description: poy+c1 . no SI cys
wT 13�
Property Tax ID #: 13 I2 �XJ� " (�V��" (.Jl J `
Lot No. �3
Site Plan Name:
Block No.
Project Name:
Setbacks Front _ Back: Right Side:
Left Side:
DETAILED DESCRIPTION OF WORK:
t4��koc-e- Re) t uk_�i2r ��r
C axoQC � I ----------------
L) gaol on A . o ..
CONSTRUCTION INFORMATION:
A itiona work to�(e�jormed under tTifs permit --c�eck-atfi- u app y:
HVAC l_I Gas Tank []Gas Piping
Shutters Windows/Doors
Electric 1 +' J Plumbing O Sprinklers
_
Generator Roof
Roof pitch
Total Sq. Ft of Construction:
S�Ftj. of First Floor:
Cost of Construction: $ j. Utilities:
— Sewer Septic Building Height:
OWNERAEESSEE:
CONTRACTOR:
Name: �!'1 � ��i
Company: L
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Y (.6 I I.i i
NameL1( rl 0a)(m1..ni'r -----
Address: I �� �-CYj� l Ot•Y�.
City: Ha
� yylo( State: t
Address: IS9LI'S' LlX&+i=X
LCU-NC-
Zip Code: I%33LIP Fax:::
City: Et. p*%C'l(ae.
Stater
Phone No.'Sy5' G5I " ssq- o
Zip Code:3149gs Fax:
E-Mail:
Phone No. ._1DL - 9 0 10 ` 2-9 L01
Fill in fee simple Title Halder on next page ( if different
E-Mail: hnin
wN i rQ. eov
State or County License: 5,;0_ IL429
TiLo
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of
Commencement is required.