HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED 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)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR:
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PRaPOSED INPROVEMENT,L0CATION:
Address: 3Z-(!:) �Q+67i5---Zjl�s V P--
Legal Description: s Ck-c*�'t3
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Property Tax ID#: 23k0 - S oZ - n 11-1: CUQ>CS- 2_ Lot No.
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Site Plan Name: Block No.
Project Name: 1?<2AV8fA4 E-Ec 4c�
Setbacks Front Back: Right Side: Left Side:
DETAiLE4 DESCRIPTION aF,WORK
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CONSTRUCTION„1NFORMATION „
Additional work to a per orme un er this permit-c ec a that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ Utilities: —Sewer _Septic Building Height:
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OWNER/LESSEE:” :CONTRACTOR:
Name Name:'ZzZCQ-'5i-
Address: -YlLi 15:*7 ID 0,-- Company: �1210EV 1,1-1I l-J—C_
City: s1r i—Jc16-- State:_EJ Address: t5KA5� Od NUJ (ZD
Zip Code: S Ll 4)c63 Fax: City: T00-11K SrT LA-�C_zc State:
Phone No. Ql %^ 01`11 52a Zip Code: Fax:
E-Mail: Phone No .Sal ig —Q-3CC7
Fill in fee simple Title Holder on next page(if different E-Mail E e lycs-0 �tJ C=� 1 • Gd J�1
from the Owner listed above) State or County License
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If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
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