HomeMy WebLinkAboutApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
- C
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2.900 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
Commercial
PROPOSED IMPRVEIiIENT—
Address:
Property Tax ID #: 125
Site Plan Name: ----
Project Name:
Residential �/
41
New E
wRIPTION OF WORK
' N w 1 ! 1
,ical Meters econd Electrical Meter—
RG TION, INFORMATION:
lA
Additional work to be performed under this permit— check all that apply:
_MechanicalGas Tank Gas Piping Shutters �
/Doors
Electric _Plumbing _Sprinklers — Generator ® Roof Pitch
Total Sq. Ft of Construction: ------- Sq. Ft. of First Floor: _
Cost of Construction: $ _ 1580 Utilities— Sewer Septic
Lot No.
Block No.
els
Pond
Name ii UN6 <� ]2, 07? —_ 1,a-
Address: A
City: _,:]t>L)fj State:
Zip Code: Q Fax:
Phone No.
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Building Height:
Name:
Company: d
Address:
City: . 'a3w State:
Zip Code: 1044 Fax:
Phone No {o
E -Mail C.C-t C- m •Ccs
State or Lunty License_ ---.,,--
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.