HomeMy WebLinkAboutBUILDING PERMIT, PAGE 1All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO EIE ACCEPTED
Date: Permit Number:
Planning and Development Services
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Building and Code Regulo on Division
Building Permit Ap
Commercial �
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ion
Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: low
PROPOSED IMPROVEMENT LOCATION:
Address:
Property Tax I D ff: �,3 3 5 — C'� O � —
Site Plan Name*.
Project Name:
DETAILED DESCRIPTION OF WORK:
M
New Electrical Meter Second Elect
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CONSTRUCTION INFORMATION:
Additional work to be performed
Mechanical
Electric
Total Sq. Ft
under
Gas Tank
Plumbing
of Construction:
Cost of Construe
/r n,
tion: $
OWNER/LESSEE:
Name
Address:
City:
Zip Code
i
rical Meter
thirspermit —
_ Gas Pipinill
check a
_Sprinklers
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ll that apply:
Shutters
Sq. Ft.
Generator
of First Floor
Utilities: Sewer
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Phone No � � 2-
Fax:
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Lot No. 'y
Block No.
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Roof Pitch
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Pti C Building Height: NUM
CONTRACTOR:
Name: 2P a.% r,;'
Company:2cvf�
Address: � 7f, �
City:�c.t:� � ,��, c� C Stater
Zip Code: , � 1 ° �" Fax:
Phone NoAlIF
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from the Owner listed above) I State or County Licensees
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f constnidion is 5500 or more, a RECORDED Notice of Commencement is required.