HomeMy WebLinkAboutPermit1All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ! - l b " �Z .)_Cj 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:
Address: - . {C w�A4UvJ 6
Property Tax ID #:� Lot No.�
Site Plan Name: Pi +¢ry Block No.
Project Name: 3�Nf 4 �'
C.,•.
Additional work to be performed under this permit- check all that apply:
Mechanical
Electric
Gas Tank
Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ Ci D
MNER/USSEE:
Name -Be, c4-n, //e n
Gas Piping
— Sprinklers
Shutters
Generator
Sq. Ft. of First Floor:
Windows/Doors
Roof Pitch
Utilities: —Sewer —Septic Building Height. -
Address: r�j �{ �+Ve.
City: Lo a c,' e State: R
Zip Code: 7�253 Fax:
Phone No. 9Z . Y/ i? r
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name:�[���� t �. C'r ")�o
Company: C
Address: �ZY,? S% Cam/cfL�1
City: Ad i L r �c�.e State: /.
Zip Code: Fax:
E-Mail ; l.c �� .e,` L s; . rte
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.