HomeMy WebLinkAboutKNEZEVICH PERMIT APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ,i/I11,?n Permit Number:
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: k I ICa
Address: 10, GrCle,
Property Tax ID #: 3ql o--)03-0245-n00 _ a Lot No. 7
Site Plan Name:
Project Name:
Block No.
Additional work to be performed under this permit - check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator T Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ M R.60
Name V) •a) LI th iIE;7E I C,4 )
Address: - )ri If -
City: L . )6-CL State:
Zip Code: Fax:
Phone No.
E-Mail:
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name:_
Company:
Address: I
Building Height:
City: ! -L r 4- U State: l-/
Zip Code: Fax:
Phone No acU
E-Mail i'))A Q
State or County License PCB I7�� 1(014 3
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.