HomeMy WebLinkAboutBuilding permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Planning and Development Services
Permit Number:
Building Permit Application
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: 17-e
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Address: la
Property Tax ID #:
Site Plan Name:
Project Name:
DETAILED DESCRIPTION 0F WOW,
`PW
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit- check all that apply:
_Mechanical _ Gas Tank _ Gas Piping
Electric —.Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Residential
,C
—Shutters _ Windows/Doors Pond
T Generator _ Roof Pitch
Sq. Ft. of First Floor
Cost of Construction: $ /&,,W/ UCH Utilities_ _Sewer _ Septic
Nam r (
Address: CKb t)/'
City: `.State>
Zip Code: _ � 9sC `7 „ Fax:
Phone No_ 7 7 Q
E-Mail:_ 1d M r/ I i) ' nnAdo etv4-
Fill in fee simple Title Holder on next page ( if different
from the Owner .listed above)
CONTRACTOR.
Building Height:
Name:�fr�ti
Company: c l' i'/' z L L-e
Address,
City: - Stater -
Zi p Code: 3 Fax:
Phone No .77o�
E-Mail �Le
;'� H
State or2rity
GI 7y
If value of construction is 2S00 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.