HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Numb(
BIT
Building Permit Application AUG 2 12018
Planning and Development Services Peirmitting Department
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 St. Ludeunty, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial 11"es-ide-n-MI J
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: Vc- FS '2W-0
Legal Description: 6.5 I-A&WA ASSOL
Property Tax ID#: q,5,0A Sol cloq Coo q Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
'DETAILED DESCRIPTION OF WORK:
("'715PJAeE SAM15 Fd& SAME J, 1` Sils7FItj 1�v(2
14el 6 F� OA.)LIJ
CONSTRUCTION INFORMATION:
Additio I work to be nertormed under this permit-check all apply:
=HVAC n Gas Tank 0Gas Piping Shutters F-]Windows/Doors
11 Electric El Plumbing OSprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
1.-, -
Cost of Construction:$ 411( Utilities: D Sewer El Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name OAUIg A otiRC2rlz/v Tugr-kA) 6EE&I-A Name: 'IZ104AIZA Q -VL144kr-
Address: Company: &>1_0
City: Stat; Address: 63 3 /y� H o P_I ZPA) I-A
Zip Code: Fax: City: II-ST t"_,L State:
Phone No. 11,11 qlhr ciS',43, Zip Code: 3 q!?9,3— Fax:
E-Mail: Phone No. 02 �ns: !: '
Fill in fee simple Title Holder on next page(if different E-Mail: Vot-11-A P,7- zc., e.3 6 MA 14. GA
from the Owner listed above) State or County License:
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.