HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: JQ_2-„(IW Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential_
2300 Virginia Avenue, Fort Pierce F( 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
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Address: p
Property Tax ID fi: - - - Lot No.
Site Plan Name: Block No.
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Project Name: Bv✓ S /11211111VgV
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New Electrical Meter Second Electrical Meter
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Additional work to be performed under this permit- check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors _Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 02 SDQ, — Utilities: —Sewer _Septic Building Height:
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Name:
Address:
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Company: %3AF<o r oa, te61C /Oil k0
City: Af left State: Zz
Address:
Zip Code: Y97 Fax:
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City: ! £ State:
Phone No. %7%-i-if-40
Zip Code: .Ty9gz Fax:
E-Mail:_—d Wowd 77Z 9 CMAll eom
Phone No 771-97f- 1W17
Fill in fee simple Title Holder on next page ( if different
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State or County License
from the Owner listed above)
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
if value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.