HomeMy WebLinkAboutBuilding permit appAll PLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Permit Numb r;
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P!c nning and Development services Building Permit Application
80ding and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
P ne: (772) 462-1553 Fax: (772) 462-1578 Commercial
Re' sidential
PERMIT APPLICATION FOR:
Description:
Prop ertY Tax ID #: _
Site PIan Name: Lot No.—l—
Proj ct Name: Block No.
lia—
Setcks Front
Back: _� Right Side: Left Side:
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NW3in1L—cneCKailthatappy;
Mechanics! `Gass Tann k
_ Gas piping — Shutters � Windows/Doors
Electric _Plumbing _ Sprinklers — Generator I,
— Roof Pitch
Total
q. Ft of Construction:
Sq. Ft. of First Floor:
Cost f Construction: $ Utilities: `Sewer _, Septic Building Height:
N
City: Company:7�j., es t,. 4
Zipode: State; Address: gs" it C-r
Fax• City: Cr 0 '3 tqG
Phone No. (D - State:
E-M il: zip Code: ���( Fax:
Phone
Fill In
fee simple Tltle Holder on next page ( if different E-Ma I No 72 -
from the Owner listed above) ' ' ' G
State or County License
If vale of construction Is 25I]0 or more, a RECORDED Notice of Commencement is required.