HomeMy WebLinkAboutSigned Hancock Building Permit ApplicationAIIAPPLICABLE lNFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:_Permit Number:
ST LUCNE
Building Permit Application
Plonning ond Development Services
Building ond Code Regulotion Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-7553 Fax: (772) 462-1578
Commercial Residentia | ,./
Address:
Project Name:
Property Tax lD #:
Site Plan Name:
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PERM IT APPLICAT]ON FOR:
Lot No._
Block No.
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
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof
Pond
Pitch
Total Sq. Ft of Construction
Cost of Construction: 5
63o
4looo
Sq. Ft. of First Floor:
IS
b3a
I
Zip code: 3qttt Fax:-
Phoner..ro. -112 Zlb t?.$8
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
City:E ?:crcc.State: Fa
Name
Address:
Phoneruo 7Zl }t{b o\\t ext}So5
E-MaiI l-\!\(8. f'^ O CAR$I rilA t^t\.)oRq;. to r.4
state orcounty r-icense CBU1Stlt$.
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Zip Code:?-)or1
gx
City:
[\'lr[r-"1 (Tt\,r.(rr
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Fax:
State: NL
lf value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
lf value of HAVC is 57,500 or more, a RECORDED Notice of Commencement is required.
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Utilities: _ Sewer _ Septic Building Height:
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