HomeMy WebLinkAboutPermit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Permit Number:
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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
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PERMIT TYPE:
Address: LZ 0
Property Tax ID #:
Site Plan Name.
Project Name:
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:TION INFORMATION:
Residential 1/
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Lot No.
Block No.
Additional work to be performed under this permi check all that apply:
Mechanical—�GasTank�GasPipin Shutters _
""� —�••- — Windows/Doors
_Electric —Plumbing _Sprinklers
_ Generator _ Roof — pitch
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
Cost of Construction: $ j j r,
_ Utilities: _Sewer— Septic Building Height:
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OWNER/I+ asst
Address d -mss -
City:
State: F(.
Zip Code: Zvala Fax:
Phone No.-S
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E -Mail L�
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: I 1 11A*4lN —11A J r�
Company: 4
Address:
City State:
Zip Code: O Fax:
Phone No 2- CS0A0 �-
E-Mail IA I
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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.