HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit
Building Permit
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
PERMIT TYPE
Address:
U e'5-1 5'W
Property Tax ID #:
Site Plan Name:
Project Name: _
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MAY 4:202.0
St. ..IJCX f-ounty, FL.
Residential
157 3' Joh i3ecr,! 3119'S'"7
I// (n Al,
/c9 x (v i)�e ` K `. lzP/6711
Lot No. (S
Block No.
Add itiona I work to be performed under this permit -check a I I that a p ply:
Mechanical Gas Tank I _ Gas Piping _ Shutters _ Windows/Doors
_ Electric _ Plumbing
Total Sq. Ft of Construction: 0X
Cost of Construction: $ `16 0 - vc
Name /?7(fltcs$l ir'01Mel'C7rl-P
Address: /0 ?S-/ S. Oc Nn, 0/ -
Sprinklers _ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
City: State: F t -
Zip Code: 3 It g S -7 Fax:
Phone No. $ 60 - 2 f -q'/ !�r y V
E-Mail:i?7Y�/il✓ci(911L-7-7 ®f5'/n4d, A�0/1+
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name
Company:
Address:
City: State:_
Zip Coder _ Fax:
Phone No
E -Mail
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.