HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLFTED FOR APPLICATION T0 BE ACCEPTED
Date:Permit Number:
Building Permit Application
Plcinnlng and Developmem Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 commercial Residential X
pERMiTiypE: Fer`ce
PROPOSED IMPROVEMENT LOCATION:
Property Ta
Site Plan Na
Lot NO.
Block No.
Project Na 'e.4\rilr`E= rr] I 'r
DETAILE DESCRIPTION OF WORK:
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CONSTR
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CTION INFORMATION:
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Additional orkto be performed underthis permit-check allthatapply: `/F2
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Mech nical Gas Tank _ Gas piping Shutters Windows/Doors
Electr c Plumbing _ Sprinklers Generator Rcof Pitch
Total Sq. FtCostofCon f construction: Sq. Ft. of First Floor:
ruction:S /o514.cO utilities: _sewer _Septi¢ BuildingHeight:
OWNER/ESSEE:CONTRACTOR:I
Name ''rr'IeL Name:-A (,
Address:iris:5 a. Irv+irnR`ivfrTh.company: RArrhAddress:112f)LJ..-I ^`
city'F=+-PierfY}. state : EL . -I,I
Zip Code:PhoneNo.Fax:City:I state :EL
zipcod aniaPhoneNolco-• -. ' ,
E-Mail:tgfrp - 5 I 1 a
Fill in fee mple Title Holder on next page ( if different E-Mail ``\ 1\`'e@ th Q£`-ram
from the her listed above)State a+County Licens¢ lira i I
If value of co struction is $2500 or more, a RECORDED Notice of Commencement is required.
lf value Of H
rcis$7,500ormore,aRECORDEDNctleeofcommencementl"equired.
SUPPLEwhENTALCONSTRUCTION LIEN LAW INFORMATl ON:\-
DESIGNEH/ENGINEER: |S`Not Applicable MORTGAGECOMPANY: j€NotApplicableName:
Name:
Address: ,Address.
City: State ,City: I State: _
Zip: Phone Zip: Phone:I
FEE SIMptlE TITLE HOLDER: }LNot ApplicableName::B0ND]NG COMPANY ! KNot Applicable
Name:
Address:Address: I
City:Cit. I
Zip: Phone:Zip: Phonle:
OWNER/ CbNT RACTOR AFF lDVIT: Application is hereby made to obtain a permit to db the work and Installation as indicated.
I certify that ho work or installation has commenced prior to the issuance of a permit.
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The following buildlng permlt applications are exempt from uncleaccessorystructures,swimmingpools,fences,walls,signs,screenrgoing a full croomsanda oncurrency reccessoryuses
i:erior:h°eTna:ndj::°s|ds;ntiaiuse`W^Riuiive To OWNER: YOUR FAILURE T0 RECOFtD A NOTICE 0F COMMENCEME MAY RESULT [N YOUR P^YIMCT"CE toR iMproyEME hITs TO youFt piropEiRTy. A NOTlcE OF COMME EMERT i`nJST BE RECORIItD AND
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SignT5Tturg Of-Owner/ Le-ssE€/CorFTactor as Agent for Owner Signa&ireoTCofffractor/LicenseHolder
STATE OF FL STATEOFFL I A
COUNTY OF COUNTY 0F
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Type of Identification Type of Identification
Produced Produced I
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REVIEWS FRONT ZONING SUPERVISOR PLANS vEGETATlob SEA TURTLE MANGROVE
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COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATERECEIVED
DATECOMPLETED
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