HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:.
Building Permit Application 441
Planning and Development Services
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Building and Code Regulation Division tfig
2300 Virginia Avenue,Fort Pierce FL 34982 "'zo
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential cent
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address: rn 6 (t Clk rC_U. �li &I
Legal Description: COZf(e_ Pl'neS C
Property Tax ID#: 33'a') C) Lot No.
Site Plan.Name: Block No.
Project Name:., V5 2'c"c •r\s
Setbacks Front Back: Right Side: Left Side:
0)0-r' rJ0+_6'W c(A no 57 't-Z.COY
C" NSTRllCT��ON I'd Nq
Aaditional war K to be performed uncler this permit-cheCK all tbat apply:
7
0HVAC Gas Tank Gas Piping F_Shutters indows/Doors
ElElectric Plumbing F]Sprinklers C]GeneratorRoof
Total Sq. Ft of Construction: Scl. Ft. of First Floor:
Cost of Construction:$ 3.-7 Utilities:F]SewerF ]Septic Building Height:
LES-§E40
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Name L,62zird ar Tccesn k',cx m: n L Name:
Address:Na? MQA-kCahn C�rcte, Company:'—'s-.1-c>
City: pork sn"^* cocl,'?_ State: Address: 1:2,4 (a I- -?Ci T+1
Zip Code:3 Ll ga C. — Fax: city: J_o yti_7Rie C--t State:_F_'_
Phone No. Zip Co d e:_2") L4 I Qi�_ Fax:_51,I J e&1
E-Mail: Phone No. 5-("1- S1
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License: 0 (13 C, 0
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.