HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:�18 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: -7905
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Legal Description: ltke(A�OG� -LAi11T im- 39 lir a9
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Property Tax ID #:1501 -W4 -D 2ZS- 000- fi Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
l.iq.vrUu: sffis1L1 new L-trmA zfon, 16 sEER Pr1�- spfif'
sc 5i?tn U1l $ KvJ heat
CONSTRUCTION INFORMATION:`
rt na wor toe e orme un er t is permit - check a app y:
HVAC 11 Gas Tank []Gas Piping _ Shutters E]Windows/Doors
11 Electric Plumbing L (Sprinklers 11 Generator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 3(e00•oo Utilities:-SewerE]Septic Building Height:
OWNER/LESSEE: <
CONTRACTOR:
Name �f�J�lY�I �(Z YISDin
Name: W&UP10
Company: f it 1
Address:
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City: Stater
Zip Code: M51 Fax: NJ&
Address:ILAfYl�l1�—
City: � ) R e" State: �
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Phone No. -111- Ll _ 47qo
Zip Code: W -SI Fax: `M1_L((k--S-7_3i 7
Phone No.171- 41141
E -Mail: NI A
Fill in fee simple Title Holder on next page (if different
E -Mail: 10 LIP 0 �JW6
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from the Owner listed above)
State or County License:
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.