HomeMy WebLinkAboutbuilding permitAll 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 APPLICATION FOR:
PROPOSED INPROVEMENT LOCATION:
Address: I
- Legal Description:
(
#
Property Tax ID #: 56 1 —
Lo No. 12-(e
Site Plan Name: 134k No.
Project Name: 4
Setbacks Front Back: Right Side: Left Side:,
ETAILED DESCRIPTION OF WORK:
I
�4eo�
Additional work to be performed under this permit — check all tat apply;
Mechanical Gas Tank Gas Piping _ Shutters _ Window Doors
Electric _ Plumbing _ Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ _ CPNZ . � Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Name:
.
Address:5 Company:
City: State.a Address: Z
Zip Code:��9� Fax: City: Q r Stater
Phone No.S Zip Code:_3zq(4n Fax:
E-Mail: Phone No
Fill in fee simple Title Holder on next page ( if different E-Maillhocdynfuy- fi) (amw- .(Joff)
from the Owner listed above) State or County Liconse dt
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.