The URL can be used to link to this page

Home My WebLink AboutBuilding permit application ilri� z u►TfoW ap n e�STHEtconilpLEfEUFoa-AOPu BEa�PTEu Date_ _ : a •` -.. - _ O �\ Buitdimg, PermitApplicaton plannmg;and'Development Seivices ' Bui/dtn _ g and,Codle Regulation Division Commercial- Residential 23'- �rginia,'Avenue,Fort'Perie Ft 34982. Phone {772j 462-853 `Fax (772)`462-T578 PERIVI(T APPLICATION,FOR: c� PRE +© E iMPR4UE`IUIENT«LOiT ' .�. , Y AddressA NAA _. Pcoperfy Tax ID#: ��- ( `, rc� :-�C •,a Eot lvo. Site Plan.Name . -. Block No., Project Name: DETAILED I?ESC 1PT , �E New Ele. .rical.Meter Second Electrical Meter _ } _. CAN -TRu`cr1 t INFORMATION40 , ^ nd this: em ar P YAdditidnalworktobe Perforrned uerPit=: haltthat _Mechanical _Gas Tank _'Gas Piping Shutters Windows/Doors _ Pond: Electric _Plumbing _'Sprinklers __.Generator �Roo€ _ .__. ._.. .-Pitch` Total$g. Ft of.Construction: Sq..Ft of R t Floor: .Cost of Construction:$' -�� _ , Utilities: Sewer _:Septic.. Building Height: aN ER/t.ESSEEi , a - NTRAt:TO --- Name: - - Address: ' (� - Company:, City' State =- Address, G . Zip Code ?� °1"k Fax. = City: Phone NO- one. . �-ci�l1 ZipCode: - _ P ho Fili in,fees�mP �e le_Holder.on next page;(�f different; E-Mast er listed above) . �State or Coun license: from the•O� _- Qf.con�Notron is Z500 or more,a RETARDED Notice of Cmmmempf'06 t H quhtd. m9 required, fue�f HAS is$7,5d 0 on more,a RETARDED Notn�of Cammencernerrt�s - - C__ CATION TO BE ACCEPTED All APpVCABLE INFO MUST BE COMPLETED FOR APPLICA permit Number:— �f Date:4U . I 0_01miov Building Permit Application L� Planning and Development services ercia Residential Building and Code Regulation Division Comm 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 �� PERMIT APPLICATION FOR: PCN✓Q� PROPOSED IMPROVEMENT LOCATION: C-- �� Lot N o. Address: a � PropertyTax ID#: Block No. Site Plan Name: QIJA Project Name: DETAILED DESCRIPTION OF WORK: b wN \ New Electrical Meter Second Electrical _� CONSTRUCTION INFORMATION: Additional work to be performed under this permit-check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors Pond _Electric Plumbing _Sprinklers Generator —Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: Utilities: _Sewer _Septic Building Height: --- OWNER/LESSEE: CONTRACTOR: Name ^` r` ^ "`��u�` Name: Address: \ `�-�-n�� Company:__ City: �4 Q�� p State-FL- Address: Zip Code: 'J ` Fax: City: State: Phone No. � �' Zip Code: Fax: E-Mail: �c"�c`.'�c e -�� 1 �c� C � Phone No Fill in fee simple Title 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 HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.