HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �] I q I 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 Commercial Residential
PERMIT TYPE: LLtC: 11 12- IC A, --
Address: I Cc T'2O� IC L 1 �� E7 C � l—
Property Tax ID #: ��i �� `�_-Ib _ `� —� Lot No.
Site Plan Name:
Project Name:
Additional work to be performed under this permit -check all that apply:
—Mechanical
Electric
_ Gas Tank
^ Plumbing
Total Sq. Ft of Construction:
Block No.
Gas Piping _ Shutters _ Windows/Doors
_ Sprinklers _ Generator _ Roof
Sq. Ft. of First Floor:
Cost of Construction: $ 14� 00 Utilities: —Sewer —Septic Building Height:
Name tj(�-OkC1
Address: Hl
City: State: �L
Zip Code: Fax:
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: i
Company:
Pitch
Address: \0\0 W "\(A 1A_tt ,J k=- ,
City: ���C o , State:�
Zip Code: Fax:
Phone No�o�- C�
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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.