HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 411018 Permit Number:
Building Permit Application
Planning and Development services /
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1$53 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION
Address: -71m Wlil,& �L 311451
Legal Description:
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Property Tax ID #:lWI-•L013 -0238 - Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
)..i(C;L -j lSt6L[l Mtvj LtYIrIN I� s6E9 9+o11 sfGfi A[C s�stelvt
v,•{ti, io K.u� h�
CONSTRUCTION INFORMATION:
A i i a wor to epee Orme un ert isperm rt-c ec a appy:
❑Gas a Windows(Doors
HVAC L 1 Gas Tank Piping _Shutters
Electric 0 Plumbing Sprinklers Generator F]Roof Roof pitch
Total Sq. Ft of Construction:Ft. of First Floor:
�i� F]
Cost of Construction: $ 00.0) utilities Sewer Septic Building Height:
OWNERAESSEEc
CONTRACTOR:
Name i i VQXo
Name:
Address:1106 iG &
710 � t�v
Company:
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Address: IOS {t TLLYI'1�V1(lLI�QC�
City: PkL(L, State: _
City: fbr 1pfirCQ State: a,
Zip Code: 344TjI Fax: N TAK
Phone No. 1-1?,-0.9
Zip Code: 3Ltq5l Fax: IZ1-I{%(o 373"/
E-Mail: N
A
Phone No. -y' kip I - LVL14-1
Fill in fee simple Title Holder on next page (if different
E-Mail: �r; %C(} \(A k /M . OAVIA
State or County License: C/ 11818 �P
from the Owner listed above)
If value of construction is $2560 or more, a RECORDED Notice of Commencement is required.