HomeMy WebLinkAbout314 S Erie DR, Lot # 324 - Permit App'l 08-20-2019All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ____________________ Permit 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 TYPE:
PROPOSED INPROVEMENT LOCATION:
Address: __________________________________________________________________________________________
Property Tax ID #: _________________________________________________________________ Lot No.__________
Project Name: ______________________________________________________________________________________
DETAILED DESCRIPTION OF WORK:
_________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
CONSTRUCTION INFORMATION:
Utilities: __Sewer __Septic Sq. Ft. of First Floor: __________________________
Cost of Construction: $ _____________________ Total Sq. Ft of Construction: ___________________
FLOODPLAIN DEVELOPMENT PERMIT for structures exempt from Building Code that are in the
floodplain:
Nonresidential Farm Building: ____ Temp. Bldg./Shed used exclusively for construction :____
Mobile/Modular for temp. construction office: ____ Bldg. involved in distrib. of electricity: ____
Other:__________________________ Flood Zone:___ BFE:___ Floodway? Y/N If Y,
No Rise Certificate with supporting data attached? Y/N
All other applicable state and federal permits shall be obtained prior to commencement of
construction.
OWNER/LESSEE: CONTRACTOR:
Name__________________________________________
Address:________________________________________
City: _________________________________ State: ___
Zip Code: ______________ Fax:____________________
Phone No.______________________________________
E-Mail:________________________________________
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name:_________________________________________
Company:_______________________________________
Address:________________________________________
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.