HomeMy WebLinkAboutBuilding permit app pg 1 001ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Q 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 APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 5g55 Y
34g8; -
_
Legal Description: vrp✓ S i )31 kC LP 8
Property Tax I #: -2410 - .563 - W-747 - 0 00 - 5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Levi rwx) 3 +o IZ ► 4,Sr;M, H-ea�f- paof
4,1C. 5�,r,+w u) IA s ku) lack. I hem
STRUCTION INFORMATION:
CSHVAC
a workto e_performedunder this permit — check a apply:
UGas Tank ❑Gas Piping _ Shutters (E]�� Windows/Doors
Electric Plumbing Sprinklers Generator 1J Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 4& 00.60 Utilities: 0Sewer ElSeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name
IzAlLng�r
Name: �
' 1'
Address: 5t��8j55�/� I rayp (pt-5 Wam
11- IL '" n i1
Company:91)V Q--tPd(' U1t17t1{[QVl�9 � CIQ�/Iqr
'1�.
City: �I4 ,t'I ra State:ru-_
Zip Code: 3L,$�'— Fax: ,1
Phone No.
Address:5(d P FufYllfk.. �L4df EEid,=
City: fb(-b— Ref c& State:
Zip Code: 305! Fax: -7?.7--41P(a-373`1
Phone No.-"d,- �0( -414-1
E-Mail:
Fill in fee simple Title Holder on next page ( if different
E-mail: . P
State or County Licen e:
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.