HomeMy WebLinkAboutBuilding Permit Application, updated 1-16-2020 i
All APPLICABLE IN O MLI�T BE,CO PLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Applicatio ,�9 ����®
Planning and Development Services 40, 10.
.Building and Code Regulation Division PCoG?,
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)46271553 Fax: (772)462-1578 . Commercial Residential
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PERMIT TYPE:
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Address: ElQ
Property Tax ID#: 3Cot No.
Site Plan Name: 5• 04, �L•Wes Block No.
Project Name:
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Additional work to be performed under this permit–check all that apply:
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_Mechanical _Gas Tank —Gas Piping _Shutters _Windows/Doors
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Electric Plumbing Sprinklers Generator Roof Pitch
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Total Sq. Ft of Construction: 1 ®� Sq. Ft.of First Floor:
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Cost of Construction:$ Utilities: —Sewer —Septic Building Height:
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Name Name:
Address: q Company:
City: 9/0,eLJ _. State• • Address:
Zip Code: Fax: City;;+err"r'' - _ r, - ` - State:
Phone No. Zip Code:•
E-Mail: —
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Fill in fee simple Title Holder on next page(if different E-Mail
from the Owrier listed above) State or County!License
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.
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