HomeMy WebLinkAbout7220 Maidstone Page 1All APPLICABLE (INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 �— /f
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982 /
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial V/
PERMIT TYPE:
PROPOSED
Address:
Property Tax ID #:
Site Plan Name:_
Project Name:
DETAILED
,QESCRIPTION OF WORK:
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical —Ga ank _Gas Piping _Shutters
_ Electric Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction:
Sq. Ft. of First Floor: _
Cost of Construction: $ raj Utilities: —Sewer _ Septic
OWNER/LESSEE:
i Compan
City: State:i V+ Addre
Zip Code:..Aq� Fax:
City:
Phone No.
Zip Code:
E-Mail: Phone �o_�1I% —
Fill in fee simple Title Holder on next page ( if different E-Mail I IU I I
from the Owner listed above)
State or County Licer
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.
Residential
Lot No.
Block No.
Windows/Doors
_ Roof Pitch
Building Height:
Fax:
I