HomeMy WebLinkAboutBuilding Permit ApplicationALL APPTICo.
Date: L)
INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Building Permit APPlication
Plonning ond Development Services
Building and Code Regulotion Division
2300 Virginia Avenue, Faft Pierce FL 34982
Phone: (7721 462-L553 Fax: {.772l,462-1578 Commercial Residential
Address:1/-
Legal Description:
Property Tax lD #:
Site Plan Name:
Project Name:
Setbacks Front- Back:
-
Right Side: Left Side:
u^) \\e '3fir
iv-€
aDplvl
AC Gas Tank
Plumbing
Piping Shutters
Generator
n *,noo*s/Doors
Electric tr nsprinkters tr
Total Sq. Ft of Construction:So. Ft. of First Floor:
,, Esewer Er,cost of Construction, S 5q 33 . t)>utilities: l_lr"*", E**Building Height:
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Zip Code: i)LflOV Fax:
E-Mail:t "ll-l.J \L4L,Y lY L\4Ht I tr.lr
Phone No.
E-Mail:
Fill in fee simple Title Holder on next paCe ( if different
from the Owner Iisted above)
STATE OF FLORIDA
:ocT28,?018
BONDED THRU
1ST FLORIDA NOTARY II.C
(Sig-nature of Notary Public-
er/ Lessee/Contractor as Agent for Owner
STATE OF
Name of persgn making statement
Personally 11nsv'76' X OR P-roduced ldentification
(Signature of Notary Public-
BOT{DEDTHRU
1ST FLORTDA I{OTARX tLC
VEGETATION
REVIEW
Rev.8/21t7