HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 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
PERMITTYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 17 . NCL \ vie DK
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Property Tax ID #: Vxxl -_550
Lot No.
Site Plan Name. Block No.
Project Name:
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DETAILED DESCRIPTION OF WORK:
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CONSTRUCTION INFORMATION:
Additional work to be performed under this permit- check all that apply:
_Mechanical `Gas Tank —Gas Piping _ Shutters Windows/Doors
Electric U Plumbing —Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ _ i f 50 Utilities: —Sewer —Septic Building Height:
OWNERAESSEE: CONTRACTOR:
'� Name:
Name `' ZZ%) G� V7C
Address: -7 -7` Q-I 5-�Vn-e , ! Company: i P-0c i
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City: s�� �'�-Yid I State: 'FL Address: (. `r JU0 0 i2a
Zip Code: Fax: City: -'kDu--V- �' ,..�(? State: 5 � 1='L
Phone No. Zip Code: =3 Of cr1 _ Fax:
E-Mail: Phone No--772 Q 0
Fill in fee simple Title Holder on next page ( if different E-Mail i -\'V)C i 0 0, �7ffh
from the Owner listed above) State or County License c -
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.