HomeMy WebLinkAboutBuilding Permit ApplicationALL APPtUI E INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I 2Z 19 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) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line Ili
PROPOSED IMPROVEMENT LOCATION:
Address: WWU
Legal Description:
Property Tax ID #:
Site Plan Name:
Project Name: _
Setbacks Front
Back: Right Side: Left Side:
)ETAILED DESCRIPTION OF WORK:
Li U- �n3tudj a.5 n i 1,L Seer unvlox s
Cool s?hj�- -S sMTW>. wig 1,5 Ku} he
Lot No.
Block No. _
I CONSTpucr(ON INFORMATION: III
L—MHVAC L.J Gas Tank "Gas P!
Electric 0 Plumbing OSprinl
Total Sq. Ft of ConstructionP:L
Cost of Construction: $ -1 to ®-0 0
ing LJShutters
ers 0 Generator
S Ft_ of First Floor:
Utilities: Sewer F-1 Septic
QWindows/Doors
0— Roof
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name & (-06
Addresss/s::� fa 1 01af aa�
Name:
Company: C
L I
City: Colt- R LRP State:
Zip Code: 31+0151 Fax:
Phone No. U31 .5-102 � �I-(P 1
Address: Jrw, i} �L1YVl i%1
CLC (iP
r T
City: m(Z P(P,(CQ�
Zip Code: 3 r
Phone No. 1-1).- 4
Srt'ater
Fax:7 {o2 -4'` b -,373-7
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner fisted above)
E-Mail:4l fad'-
COIti)
State or County License:
_ lAl AI A�e
If value of construction is $7500 or more, a RECORDED Notice of Commencement is required.