HomeMy WebLinkAboutBuilding Permit Application REVISED,CORRECTED VERBIAGE I
All APPLICABLE INFO MUST;BE COMPLETED FOR'APPLICATION TO BE ACCEPTED INA' QMDate: Permit Number: ��
t
Building Permit Applicajn �-
Planning and Development Services Al, 3 X10
Building and Code Regulation Division
2300 VirginiaAvenue,Fort Pierce FL 34982
t Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential r
]PERMITTYPE:
RUPO=ED f' MMMME
ddress: 7 r.—at t t±
Property Tax ID#: 2—: 09G G Lot No.,
Site Plan Name: Block No.
Iroject Name:
D IN 191111 DID M 8,11 WWWAS
OORK:
1,Le— t--L C,5 /L
I G 0 a /
, I
` •0 aTRUCTI� lNFOR 0N•
Additional work to be performed under this permit—;check all 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:
I
0W ERJLE�SEE: GONTR�4 0R:
Name 'Name:
Address: AO G Com'payiy':'�;r:"=..'�';,."tr°.�u..'.'ti pa '�� I
Clty � rP t' r"r�� State:EL Add I - r
:..ae•.nn n art.',t:a i3• (.
�
Zip Code: ems} 1 /�_ Fax: �7 Cityl,, �' ;, :;��=:;:>?3:-' Sli�X3 ;;='=" #4 State:
Phone No. l ? Z `I �O t`a l Zip ii: ,>trr:c�trttt.•it }=t;�.�1:IuuSt P attu ..t::.: )4
Code: - r. ;s�i - Fax -z-
E-Mail: 61/d7._dam— 191909Q—OL" �. Phone No
Fill in fee simple T•rtle Holder on next page(if different E-Mail
from:the Owner 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.
I .
I
i
I �