HomeMy WebLinkAboutbuilding 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
PROPOSED IMPROVEMENT LOCATION:[
Address: C-1O Ct
Legal Description:
Property Tax ID#: Lot No.
Site Plan Name:
Block Na.
Project Name:
Setbacks Front Back: Right Side: left Side:
DET.#ILED DESCRIPTION OF WORK:
CON TRCICTION INFORMATION:
Additionalworkto orme un er t is permit—c ec a apply:
0HVAC n Gas Tank Gas Piping _Shutters ❑Windows/Doors
Electric El Plumbing OSprinkiers Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ - Utilities:11Sewer Septic Building Height:
OW ERAESSEE: CONTRACTOR:
Name #"''lC V Name: a
f �i7 0'1
Address: 400 a �X Company: �. . r`., .'
City: e r L State:� Address: .3 u -c_r
Zip Code: �! Fax City :r e State:_/-
Phone No. Zip Code: 3 L/ '.Q- _ Fax: L & 7
E-Mail: Phone No. .L it — �Clv�i 5
Fill in fee simple Title Holder on next page(if different E-Mail: e`� C n ',_, a ✓�
from the Owner listed above) State or County License: C 1�S S 3 6 k 2
If value]of construction is$2500 or more,a RECORDED Notice of Commencement is required.