HomeMy WebLinkAboutbuidling permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 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
PROQOSED IMPROVEMENT LOCATION:
Address:
Legal Description:
Property Tax ID#: L� �� C�C3�/(�j - jQ- l Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
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CONSTRUCTION INFORMATION:
iti onal work to be ertormed under t is permit--c ec aflt apply:
11HVAC Gas Tank as Piping _Shutters Windows/Doors
O'Electric Plumbing ❑Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ C 'C�' Utilities: Sewer Septic Building Height:
OW ER/LESSEE: CONTRACTOR:
Name: L "^t_ 3 a' Name: r '"
Address: e ' J_l Company: v C�_
City: �%L ' 5 u r Stater i Address:
Zip Code: Fax- City:
- �C tr L' State:_�''
Phone No. Zip Code: . 'i ^J''2%5 Fax: 1-16-1ir 142 `7
E-Mail Phone NL_/
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Fill in fee simple Title Holder on next page if different E-Mail: �-. • � ry � Cam. ,
from the owner listed above) State or County License:( I I C it�_/
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.