HomeMy WebLinkAboutCCF_000359ALL 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:
Addr L2
Legal Description: 5 - ` " ` 1
Property Tax ID #: 33 S r `,� i Oyv`"�' Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
W I I t CA
-firm
CONSTRUCTION INFORMATION:
itna wor to orme un er t is permit — c ec a appy:
HVAC ❑Gas Shutters Q Windows/Doors
_ Gas Tank Piping _
Roof Roof pitch
Electric Plumbing Sprinklers Generator
Total Sq. Ft of Construction:G� S . Ft. of First Floor:
Cost of Construction: $ Utilities: Sewer Septic Building Height:
OWNER/LESSEE:
Name
CONTRAC I UK:
Name:
Address: UCompany: Ill 1 l 1 4 k JV I Il_\ LSM i i I i C_ I �
City: CI State: Address; D
Zip Code: ,_jMZ� Fax: City: �J (C state:
Phone No. 3rC, ' S o1� — O Zip Code: Fax:
E -Mail: Phone No.
Fill in fee simple Title Holder on next page ( if different E -Mail:
from the Owner listed above) State or County License:( :2"t�^�
o S
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.