HomeMy WebLinkAboutbuilding permitAll APP IC BLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE:
Address: V ) 4 1" (
Property Tax ID #:�� j Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
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CONSTRUCTION INFORMATION:
Building Permit Application
Commercial Residential
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Addition or to be performed under this permit- check all that apply:
_,Mechanical _ Gas Tank _ Gas Piping _ Shutters
— Electric — Plumbing _ Sprinklers Generator
Total Sq. Ft of Constructi%on�: Sq. Ft. of First Floor: _
Cost of Construction: $1-� , To
Utilities: _Sewer _Septic
OWNER/LESSEE: CONTRACTOR:
Name Name:`
Address 'j Company
City: Statek_.. Address:
Zip Code: Fax: City: L
Phone No•. 3, '" Zip Code. 3NJ4
E-Mail: Phone NLvoir_;_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 $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
Lot No.
Block No.
Windows/Doors
_ Roof Pitch
Building Height: —
U `t to
State:
Fax: