HomeMy WebLinkAboutBuilding permit appALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: (a� l !� Permit Number:
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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: G101 U11A, `��
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Legal Description:- -F&Ais1 l�lko5 fait l*
Lot No. _
Property Tax ID #: Block No.
site Plan Name:
Project Name: Left Side:
Setbacks Front
Back: Right Side:
DETAILED DESCRIPTION OF WORK: u ` 14,S ec
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CONSTRUCTION INFORMATION: appY:
ni na wor to e e orme un er t is permit- c ec a aWindows/Doors
HVAC Gas Ta
❑Gas Piping Shutters
_nk E�JRoof
Electric Plumbing
�5prinklers Generator
S . Ft. _
of First Floor:
Total Sq. Ft of Construction: Septic Building Height:
f.�(ppp_60 Utilities: Sewer
Cost of Construction: $ CONTRACTOR:
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State:
city:
Zip Code:
Phone No-______—
t-Ma°:— if different
Fill in fee simple Title Holder on next page l
from tfie Owner listed above)
or more, a RECORDED Notice of Commencement is
if value of corstruction is
Name: I/�� n .4. �. Unl2dlf2Cl �IC.I
Company: {elf U1�
Address:5ld � -
State: r-t-
city:'�rGPJ 7�� ala 3T3,
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Zip t }� 1
Phone No.-"
E-Mail: R
State or County Licen e: CAC.18I2�[�