HomeMy WebLinkAboutBuilding Permit Application (2)All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 452-1578
PERMIT APPLICATION FOR:
Address: r^ '
Property Tax I D #: __'I J 70 f -- c) n I Lot No.
Site Plan Name-.__
.-�cA C' C, , ae C' Block No.
Project Name: ;^
New electrical Meter Second Electrical Meter
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:
Cost of Construction: $ ?S r) Q t
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
Name p:?6-rol- \ A i VY1 M C C
Address: C 0 z7j �f[.<
City: .P State:Ft ,
J
Zip Code:_iLf Fax:
Phone No.
E -Mail:
Fill in fee simple Title Halder on next page ( if different
from the Owner listed above)
Name: r✓ a
Company: l- la k,Cc' 3
Address:.� _S4,)0L r
City:Stater
Zip Code: 5��'� Fax:
Phone No 772— —fl
F -Mail L. d2 -
State or County License_cigeegzt6e j
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.