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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 1 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 X PERMIT APPLICATION FOR: Window/door PROPOSED IMPROVEMENT LOCATION: Address: Legal Description: Property Tax ID #: Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: Lot No. Block No. DETAILED DESCRIPTION OF WORK: I Aaaitional work to oe ertormea under this permit— cl E1HVAC 0 Gas Tank ❑Gas Piping 11 Electric 0 Plumbing Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ Shutters Windows/Doors Generator E] Roof Roof pitch S. Ft. of First Floor: _ Utilities: Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Name: Address: Company: FHIA,LLC City: State: _ Address: 3044 SW 42 ST Zip Code: Fax: City: FORT LAUDERDALE State: FL Phone No. Zip Code: 33312 Fax: 954-792-7977 E-Mail: Phone No. 954-792-4415 Fill in fee simple Title Holder on next page Ij if different E-Mail: PERMITS@FHAPRODUCTS.COM from the Owner listed above] State or County License: CGC061890 IT value or construction is Whoa or more, a RECORDED Notice of Commencement is required.