HomeMy WebLinkAboutBuilding permit appAll APPLICAB INFO MUST Re COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
M
I I E rY�`r:I'a
Building Permit Application
Planning and Development services
Building and deRegvlarronDrvision Commercial Residential
2300 Virginia venue, Fort pierce FE 34987
Phone' (772) 462-1553 Fax: (772) 462-1578
P ER M IT APPLICATION FOR:
PROPOSE
Address -
Property Tax I
IMPROVEMENT L.O ATI0N;
Site Plan Nam= _.
Project Name:l
DETAILED 0E5CRIPT#ON OF WORK.
r
New Electrical eterSecond Electrical f+.+>!eter
Lot No.
Block No.
Additional wa k to be performed under this (permit —check all that apply;
Mechani I _ Gas Tank _ (5as Piping — Shutters _ Windows/Doors
Electric _Plumbing _Sprinklers Generator
Total Sq. Ft of uction: Sq. Ft. of First Floor.Cost of Constr1CC,'ri1,Str
Utilities. _ Sewer — Septic
Roof
Building height:
Pond
Pitch
UVV44tMf i_ EE: CONTRACTOR:
Nance C nY - C. F ame
Acldres5' [rJ Company;_ /! t _
City: � � 5#ate: Addfess; � � � f �'`
Zip Code;{ #a Fax. City: .State:
Phone No. � Zip Code: Fax: _
E-Mail: Phone No
Fill in fee sign I i le Title Holder on next page if d ren I E-Mail :2�4// x 14 a — ['
from the Ovwrjer listed alkove) State or County License �r I
If va]ue 4f construction is50a or more, a RECORDED Notice of Commencement is required.
If value Df HAVC;Js $7,500 or more, a RECORDED Not Ice of Commencement is required.