HomeMy WebLinkAboutbuilding permitAll APPLICABLE INFOMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: L%n2►20W Permit Number:
gore]
Building Permit Application
Planning and Development Services
Building and Cade Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT TYPE:
PROPOSED INPROVEMENT LOCATION:
Address: '::�� CL��2 �cc_ A
Property Tax ID it: Lot No.
Project Namec"
DETAILED DESCRIPTION OF WORK:
CO
Utilities: _Sewer _5eptic Sq. Ft. of First Floor:
Cost of Construction: $ ' ���yo Total Sq. Ft of Construction:
FLOODPLAIN DEVELOPMENT PERMIT for structures exempt from Building Code that are in the
floodplain:
Nonresidential Farm Building: _ Temp. Bldg./Shed used exclusively for construction
Mobile/Modular for temp. construction office: Bldg. involved in distrib. of electricity:
Other: Flood Zone:_ BFE:_ Floodway? Y/N
No Rise Certificate with supporting data attached? Y/N
All other applicable state and federal permits shall be obtained prior to commencement of
construction.
OWNER/LESSEE: P
CONTRACTOR:
Name 5�=-='� L
(�1.�`
Name: 1C,��� fYl 'C-1�L-�"'r�`%�
Addr�ess 02 -a
C%L-C �IV
Company-a2 L'`G-rC.Cc�q fJtc-2
CitAb f 1 State:A 1
zip code: S Fax:
Phone No.71_)2- • Ln
Address:' (R'L .)rN�
�3
j AA
City:�r'i SA, \c-tc— State:
Zip Code - CtS 0 Fax:
Phone No��2-'
E-Mail:
Fill in fee simple Title Holder on next page (if different
E-Mail R- cAO.:V Nam- li'
State dr unty License 7c$� 2q
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.