HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 Permit Number:
NO 111201, 1
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: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Addrett_ 7nnu vrwim4- 1Y.r4, 30
Legal Description: LA,k2wooct. P ry , LW14- 3 Ylk 23 (p76 az £3
PropertyTaxlD#: (301 _b03
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
�tV fol' J(t,. 3. S n Q(o Ste*_ (,eMD>C
LIHVAC U Gas Tank uGas
Electric El Plumbing OSpr
Total Sq. Ft of Construction:
Cost of Construction: $ 52-00-00
Piping
Lot No.
Block No.
app y:
Shutters ❑ Windows/Doors
ers L_1 Generator L J Roof
S Ft, of First Floor: _
Utilities: Sewer Septic
Building Height:
OW NERILESSEE:
CONTRACTOR:
Name .J-0hrl Fo a uxi er
Name:
Address:W/S rft-tf bC
Company:8D /A Air Nhli fiAnaA HHpu ;Ta
City: R2W �Piwe__ Stater
Zip Code: 3q q 5 I Fax:
Phone No -139 -I-l9
Address:SIO Pr-am(lil� j.�PdYt t�1L..
City: Frb- IRerc& State:
Zip Code: "30,S) Fax: -712-- 4&1P -373'(
Phone No. A- `Ya(-4Ikl
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail:kAy(l7aL A vvihno. Cn n
State or County License: CAC t 8181$
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.