HomeMy WebLinkAboutbuidling permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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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
PROPOSED IMPROVEMENT LOCATION:
Address: L 1'L'Al ���, -�•,�� �
Legal Description:
Property Tax ID#:2` I .76 - L/_ CbO Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DET 'ILED DESCRIPTION OF WORK:
'/ . �a S` `-0 i1 * �""�� ✓C•i" t c,e-, CS ML(,� 5!o'"- r..0�
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CONSTRUCTION INFORMATION:
Additional work to e erformed under t is permit-check a apply:
�HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
11 Electric El Plumbing []Sprinklers 0 Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ s Utilities: Sewer Septic Building Height:
OWNER/LESSEE. CONTRACTOR:
Name rM Name:
Address: C 1 II+W , kdc. 4-, Company:
City: State:C-'Y/ Address: ., '7 rr, / �� .C11 c-r
Zip Code:'I'Ll Fax: City: f l .r e e f Stater
Phone No. Zip Code: .j`+ 5 8�1 Fax:_�ii- V-7,,.1 7
E-Mail: Phone No. L L ` 'Y.-z 9
Fill in fee simple Title Holder on next page(if different E-Mail: -F� �� . -c v p i c ✓r�l 1
from the Owner listed above) State or County License: C. 4 3 tom-Is
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.