HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE I FO 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:
Legal Description:
Property Tax ID #:
Site Plan Name:
Project Name:
Setbacks Front Back:
51
Right Side: Left Side:
DESCRIPTION OF WORK:
Life.-, .A C Arlt
14 SEe12 t Cln to Kvil
IaIHVAC L=IGas Tank UGa<
Electric El Plumbing n5pi
Total Sq. Ft of Construction:
Cost of Construction: $ 'l µU.60
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Piping
ars " Generator
SFt. of First Floor: _
Utilities: Sewer Septic
Lot No.
Block No.
Windows/Doors
Roof
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name:&A O in
Name:
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Address: 4 AiftL
Company: Q f
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City: jt'� Pi LfC� State: t
Zip code: 3�Ig5 ( Fax: I (A _
Phone No. �I`� - 5.1�gll01
Address: 5 D 1 -um ,
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City: �l f -r MY rCr' State: a,
zip Code: SHi51 Fax: -3y3'i
Phone Nol-la-4-(21-}l Lif I
E-Mail:Al A
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
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E -Mail: (JD �.
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State or County License: tX
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it vamp ux Lumtrucuon a -?L uu or more, a Ktcunueu nonce of commencement is required.