HomeMy WebLinkAboutalex 1ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Date:
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 L
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address:
Legal Description.
Property Tax ID #: 34l 03 ` 0 7 ` UC O " Lot No.
Site Plan Name: Block No.
Project Name_
Setbacks Front Back: Right Side: _eft Side:
DETAILED DESCRIPTION OF WORK: =K :§.., • .
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CONSTRUCTION INFORMATION:
Mdltional work to e e orme under this permit— check a apply:
EJHVAC 13 Gas Tank []Gas Piping _ Shutters ❑ Windows/Doors
nElectric D Plumbing Sprinklers ❑ Generator Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ _ �Q 7 '�—
S . Ft. of First Floor: ,
Utilities: 0Sewer F]Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Zle..►
Address: C3 i -ecxr j
Name:
Company:
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City < <' State: 26�-
Address:�3
o'er
Zip Code: 3 q 9 i5 Fax:
City: , fc Stater
Phone No.
Zip Code: 1-19
Fax: L - (� i( —I 7
E-Mail:
Phone No. Lt (.0
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Fill in fee simple Title Holder on next page [ if different
E-Mail:
from the Owner listed above)
State or County License: _
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It value of construction is 52501) or more, a KLLuKutu rootice or tomrnencemenz 15 requileu.