HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLI BLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: -7 171( LgPermit Number:
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
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line I�I PROPOSED IMPROVEMENT LOCATION
Address: (e(,
Legal Description:
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Property Tax ID #: 1301-0 ) I -02-g4 -000-0 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
J sfJX[J near [tKOOX 3,5 foh 14,5 si;DR.
5�tifA10, Si GttYn ialA `715 kw heat.
CONSTRUCTION
INFORMATION:
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apply:
HVAC
Gas Tank
[]Gas
Piping
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Shutters
El Windows/Doors
Electric Plumbing
Sprinklers
Generator
Roof
Total Sq. Ft of Construction:
S Ft. of First Floor:
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Cost of Construction: $ `C�d�•��
Utilities:Sewer
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Building Height:
OWNERAESSEE:
CONTRACTOR:
Name
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Name:
Address: (96 3 sAwo6 I -
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Company: fjnyo- All- IYC lI jyf#lala ��ypll�alf'(%
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City: rll0 (Qir(L State:ri
Zip Code: so S t Fax:
Phone No.-('1A'?i3�'!�3Y
Address:90 AE lurrlPf)CJG ji!4d i�4• J.,
City: fb�i Refc i State: rC
Zip Code: S41sI Fax: -71.2"4O-373-7
PhoneNo.-Tig- 46f-414-1
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
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State or County Licen e: CA61$1SI$
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.