HomeMy WebLinkAboutBuilding Permit ApplicationAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
ate: Permit Number: 1 I®�•bco��
Building Permit Application
'anning and Development Services
uilding and Code Regulation Division
300 Virginia Avenue, Fort Pierce FL 34982 /
hone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential v
PERMIT TYPE: 5A ev
Address: b C�
Property Tax ID#:2-,(---05 - DIES%' Vod - Lf Lot No.
Site Plan Name: Block No.
Project Name:
2
ditional work to be performed under this permit- check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
I Sq. Ft of Construction:
of Construction: $ -Z
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic
Name c+� .5 7l/C
Address: 404 41
City: r?, PS State: /C�
Zip Code: 341 9 7 Z Fax:
Phone No. %?L -, c/ 3
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name:
Company:
Address:
Windows/Doors
Roof Pitch
Building Height:
City: ; ,:.,;.: State:
Zip Code: ' ; Fax:' _
Phone No
E-Mail
State or County License
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: 190®-b(Q�'1
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 v
PERMIT TYPE: 5A e�o
Address:
Property Tax ID #: 3YO2 - 4,05 - 00 S%' VC)C - Y Lot No._
Site Plan Name: Block No.
Project Name:
Additional work to be performed under this permit- check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 2-
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNRER ll! SS E•
CONTRACTOR:
Name J
'7l�
Name:
Address:
Company:
City: ��. PdgiCLr
Zip Code: 9 Z Fax:
Phone No. L
State: /��
Address:
City:; - .; s . ,uF ": State:
Zip Code: (ax:
Phone' No*-:""- -__
E-Mail:/QOS{���?il�/�?��/fold C
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
-
E-Mail
State or County License
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.