HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
COUNTY``
f 1 p R f p A
Building Permit Application
Planning and Development Services
Building and Cade 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 IM~~ PROVEMENT LOCATION:
Address: _ 5 vQ � 0 -P l.0 (5n
Legal Description:
Property Tax ID #:
Site plan Name:
Project Name:
Setbacks Front Back: Right Side:
DETAILED DESCRIPTION OF WORK:
Left Side:
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CONSTRUCTION INFORMATION:
A001yonal work to HVAC ff orme un er t is permit - c
Cas Tank OGas Piping
❑Electric 0 Plumbing OSprinklers
Total Sq. Ft of Construction: 'qv
Cost of Construction: $ S 0
apply:
_ Shutters
Generator
S Ft. of First Floor: _
Utilities: of
Septic
OWNERAESSEE:
CONTRACTOR:
Name ,
Name: e
Address' ~�
Company:
City: State:
Address: Q
Zip Code: Fax:
City: iG
Phone No. U �
Q Zip Code: ��j oaC
Phone No. "7 7
E -Mail:
E -Mail:
Fill in fee simple Title molder on next page ( if different
from the Owner listed above)
State or County License:
If value of construction is $2500 or more, a RECORDED Notice of Commencement
is required.
Lot N6;2 3 c?b
Block No.
onY-S
[-V Windows/Doors
F]Roof Roof pitch
Building Height:
Fax:
State:(—