HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ,_ G
Permit Number:
Planning and Development Services Building Permit Application
Building and Code Regulotion Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
Residential
PERMIT APPLICATIONFOR� ,-_.,_, ..
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Address:
Description:
Property Tax ID#:
Site Plan Name: { ra j ��t� `I �rn�/, /��n•�� IJLC J Lot No.
Project Name: �i Block No.
Setbacks Front Back:
Right Side: Left Side:
DETAILED DESCRIPTION OF°
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HVAC
LJ Gas Tank
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Gas
❑m
Electric
11 Plumbin g
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Piping g Shutters
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L. ISorinklcr� �-
El Wows
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S . Ft. of First Floor:
Cost of Construction: $_ O�
' Utilities: Sewer ❑Septic Building Height:
-,. Namav t UNTRACTOR:
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Address: Name:
Company:
City: Q State:
H. Zip Code: L_ Address: t& --
U Fax: Cityr
Phone No. : g� �-Si
E-Mail: Zip Code:33�— Fax:
Fill in fee simple Title Holder on next page f different Phone No. � J 1--, J �-SS
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from the Owner listed above)
State or County License: L' Q
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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Address:
Zip: Phone:
State: _ City:
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City:
Address:
Zip: Phone:
I City;
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I certify that no work. or installation has commenced prior to the issuance of a permit. -
St. Lucie Countyy makes no representation that is granting a permit will a
which is in conflict with an a li
'Nome Owners Association and review your deed foor and r any restr coons w restrict
a prohibit such
In consideration of the granting of this requested erm'
in acc
e orida Building Codes and St. Lucie County AmendmeZ. perform the work
The following builrMrding permit a I'
es, swimming pools, fences, walls, signs, screen rooms and accessnencyQeiiew: room additions,
WARNINr Tn nu....-.._ ..
The
REVIEWS
INITIALS
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