HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �(�_� J Permit Number:
r �
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:
x 4 ag , r
Lega Description: c t - l Cc
s
Property Tax ID#: J ��� �+ Lot No.
Site Plan Name: �4/� Block No.
Project Name: , vP (� h !//,< /C&- s f
Setbacks Front Back: Right Side: Left Side:
w
�
«,z a"' a i ,: .✓ ..
x 'N� '
�'� L -x�--mar� a
�.. rona wor_to, a pe�.:
it
orme under this permit-checK all that apply:
_Mechanical _Gas Tank !Gas Piping _Shutters —Windows/Doors
y
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ Z Utilities: Sewer _Septic Building Height:
Name a Name: v-
Address: Company: 4 rec.. , I
City: s f State:Z2., Address: 0 -
Zip Code: ;�3 f 5- -- Fax: /P/f = City: State:
Phone No. 7 7;�`0 C1� Zip Code:" � �L Fax:
E-Mail: 4, ` Phone Now 7
Fill in fee simple Titl He older on next page(if different E-Mailer
from the Owner listed above) State or Co4n7ty License
Itvalue of construction is 2500 or more,a RECORDED Notice of Commencement is required.