HomeMy WebLinkAboutBuilding Permit Application I
All APPLICA LE IN O MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
O '
Building pp Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR: eS 4
"pROPOSED IMP.ROVEMENTtOCATION F" `
Address:
Property Tax ID#: Q � Q I Vu Lot No.
Site Plan Name* ��1 C 1�1� Block No 63�
Protect Name: nxe+ F
f A-f
DETALLED DESCRIPTION OF,INORK :. ;
o LU
�1 UII 1 Il f Lf "T X
New Electrical Meter Second Electrical Meter - I C' ( J
`'CONSTRUCTION I.NFORMATIQN `
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond
_Electric _Plu bing d _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Constructi n: 2 t) -Sq. Ft.of First Floor:
Cost of Construction:$ - Utilities: _Sewer _Septic Building Height:
OWN /LESSEE CONTRACTOR:
Name 1, Name:
Addr C1 d L Company:
City: State: Addr s:
Zip Code: Fax: City: State
Phone N � Zip Code Fax-
Phone one �� `7
Fill in fee si ple Title Holder on next page(if diffe E-Mail
from the Owner listed above) State or County License
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
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