HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: qW(8 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: q pp
Address: 1_ b BIRt.
t 3 95�
Legal Description: PA
%Tlr� B (L 2. Wr 13
Property Tax ID #: 1319 --701 - oo7— -o0o -5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Leff Side:
DETAILED DESCRIPTION OF WORK:
Sea
CONSTALICTION INFORMATION 111
MHVAC LJ Gas Tank UGas
Electric Plumbing RSpr
Total Sq. Ft of Construction:
Cost of Construction: $ 346-0 . 60
Piping
=rs " Generator
5 Ft. of First Floor: _
Utilities:El
Septic
QWindows/Doors
11 Roof
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name
Name:
Address: (10-1 1[4600. WaZed
,,
Company: 1 (k �/
1
City: � 4�Q.rte, State:
Zip Code: 944�J( Fax:
Phone No.
Address: �
__.
City: 6Urt-r1yre_ State:
Zip Code: Vg6l Fax:'1-7,).-1.}(t4
Phone No.' l� _-1-61 -lt tl-i 1
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail:lQ'
State or CoA ty License: ChCIS('X)'J(e
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.