HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLE EI) FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1-553 Fax: (772) 452-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION
Legal Description:
Property Tax ID #:
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: left Side:
Lot No.
Block No.
RETAILED DESCRIPTION OF WORK: I
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I CONSTRUCTION INFORMATION III
L-VjHVAC I _IGasTank UGas
Electric Q Plumbing []Spr
Total Sq. Ft of Construction:
Cost of Construction: $3 y OD
Piping
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S . Ft. of First Floor: _
utilities: Sewerl (lo
=Septic
t] Windows/Doors
11 Roof
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name
Name:
Address: /c/6ac/ es, <&Cp ei� 2t
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Company: �jMdg-CTt{�
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City: r�2 �PiE/L!� State: A7,
Zip Code: W9S/ Fax:
Phone No. 9�y7�yxy
Address:5I06 Q- -FtMafkR- FA&fi4 -�i
City: fbls-bi Rpyct"
Tap Code: 3"5��i
Phone No.-"9- ,1 J-414-1
_ State: R-
Fax: 7?�'4&(p-373-7
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: boy+} afa to
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State or County License•
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is game or cvasrruc000 u 4l c or more, 3 muAcMu Notice or commencement is required.