HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLIC . LE INFO T gE COMPLETED ;-Iy1R TO APPLICATION
Date: 3 BE ACCEPTED
Permit Number:
Build"o�g permit Application
Planning an Development Services '
Building and ode Regulation Divlslon
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2300 Virg
ini Avenue, Fort Pierce FL 34982
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Phone:(77 462-1553 Fax: (772) 462-1578 ' 11� �
Commercial Residential
PERMIT A PLICATION FOR:
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Address:
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Legal Descrip on; r`�f lip r,'ii
Property Tax #: 50 -
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Site Plan NaryL No.
Project Name `
Sa-n C� BI ck No.
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ar Left Side:
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to e er orme un er t is permit- c ec a �'°r °1''
SHVAC appY n :.. fFl 1
Ojj�� Gas Tank ❑Ga; Piping
Electric _ShuttersWindows/D ors
Plumbing Sprinklers n �-
Total Sl Ft of onstruction: EI Generator Roof
Sq Ft of First Floor:
Cost of Constr ction: $ 2 I lll
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Utilities: Sewer ❑ II I I�
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Septic Building Hei ht
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Name
Address: V Name:
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State: hly Str Ti'
ZIP Code: ) I 64- Address:
Fax: I
Phone No. 51 �--- City: ;>/(
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E Mail:
Fill in fee situp a Title Holder on next page If ditrrent Phone No. ��� 44)�) 13
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from the Own r listed above) E Mail: rvt ,r !D wit L I'
State or County License: (ZAC0
f value --of uctlon !s $2500 or M. a RECORDEi,,Notice of Commencement Is required.
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FEE SIMPLE
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HOLpER: Not Applicable
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