HomeMy WebLinkAboutbuilding PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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Permit Number:
Commercial _ Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the and of line
PROPOSED IMPROVEMENT LOCATION:
Address:
Legal Description:
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
Property Tax ID #: JL10") 10 - ( [ �` s
Lot No.
Site Plan Name:
Project Name:
Block No.
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
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CONSTRUCTION INFORMATION:
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11HVAC Gas Tank Elias Piping _ Shutters
❑Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction: $ `J Utilities:
EiSeptic Building Height:
OWNERAESSEE:
Name 1".
Address:
1
City: State:%
Zip Code: -(atL/ Fax:
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name:
°Company: I,,.�Ur' 4-
Address:� H �,
City: . t'."s z State: Az
Zip Code: _ `Y cj ,Z _Fax: L f
Phone No. L�
E-Mail:
State or County License: 13 e, F:�; )
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.