HomeMy WebLinkAboutwalls 1ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Permit Number:
Building Permit Application
Planning and Development Services
Building and Cade 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
PRO OSED IMPROVEMENT LOCATION:
Address: 1Ar440 4
Legal Description:
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Property Tax ID #: 3 Lt(.�' cal, - C)S Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
CON; TRUCTION INFORMATION -
Additional work to be nertormed under this permit -cneCK all apply:
0HVAC Gas Tank ❑Gas Piping Shutters ❑ Windows/Doors
0Electric 0 Plumbing ❑Sprinklers El
Generator Roof Roof pitch.
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction: $ Utilities SewerEl Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name C-,! U- C,
Name: 9
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Address:
Company: C. ,
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City: ` ' cc a State: I_�
Address: � "�
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Zip Code: �e Fax:
City: -
state,
Phone No.
Zip Code: L( 5
Fax: (1% l `2
E-Mail:
Phone No. t- —
Fill in fee simple Title Holder on next page ( if different
E-Mail,d
from the Owner listed above)
State or County License:
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Ir value or consirumon is �4suu or more, 2 111:wKutu Notice of commencement is required.