HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10a( I aoao Permit Number:
C'oU � _ V
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential ti '
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:
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Address: I I `: ))I - �A\-AC-)C_
Property Tax ID#: (A-31,1-(]C)D - Q00- Lot No.
Site Plan Name: Block No.
Project Name:
h C- lc?\C l:, a-5len c� 1le �r� I I send 1 C_C_.
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: $ 1���r ��✓ Utilities: —Sewer —Septic Building Height:
MIN
Name Name: me
Address: 1��j1AI�1C,t, Company: c c 51
City: i - Stater: Address: '
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Zip Code: �S* y �S Fax: City: 'J:t P,aGczc� State:IR-
Phone No. D \' IOQ\(n Zip Code: _�ACV��)L ax: L�6'\-CV
E-Mail: Phone No ��� \
Fill in fee simple Title Holder on next page( if different E-Mail
from the Owner listed above) State or County License
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.