HomeMy WebLinkAboutBuilding permit application All APPLICABLE INFO MUST BE COMPLETED FO .APPLICATION TO BE ACCEPTED }�
Date: SEaI�c ��I�� Permit Number �J ,
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- ilding Permit Applicati®n
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 Residential
PERMIT TYPE: F L :T
PROPaSED ii1/I>"?RQVEMENTLaCATIQN,. ..9`7 F �� ..'
Address: tsoq -T LA m V-� i ,U, iC-
Property Tax ID#: y ' �`i�l�C ' � �J ' 3 Lot No.
Site Plan Name: Block No.
Project Name:
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DETAILiiD DESCRIPTION QF°W(?RK d >>
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CQNSTRUCTIAN>INFQRMATIQIV _ h
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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:$ c 'Y-)u Utilities: —Sewer _Septic Building height:
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flWNERfLESSEE: ONTRACTOR.
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Name �� f;Sl_yfh.1tC_��6\t'_D Name:
Address:_ E) -"'"."t.xt-113LlNc! ZI Company:'I L1ii,4.1. L.�f n tt(:'� �1?+1�tMLkL �=
City: � , '� State: iR, Address: 16NO V3"'N&OCAt-V
Zip Code: f '1r Fax: City: �; . b =`'L c State:
Phone No. Zip Code: :?
E-Mail: Phone No
Fill in fee simple Title Holder on next page(if different E-Mail_ r 1 A,4 �(AA.co.tl
from the Owner listed above) State or County Licens, %'� 1
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value of construction is$2500 or more,a RECORDED Notice of mmencement is req
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is rewired.
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