HomeMy WebLinkAboutBuilding permit appAll APPUCABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: b bb Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address:
Property Tax ID
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit- check all that apply:
Mechanical
_ Electric
—1aas Tank
✓Plumbing
_ Gas Piping
_ Sprinklers
Total Sq. Ft of Construction: (n
Cost of Construction: $ 14 q 7 • V
Lot No.
Block No.
_ Shutters _ Windows/Doors _ Pond
_ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name
Addr :
Name: S
Company:
Address:
City: State: (r
Zip Code: q, 4 Fax:
Phone No.
City: 22- ST- LffJ)— State:
Zip Code: ,34Q 2,ff� Fax:
PhoneNl,o_
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
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E-Mail
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State or County License
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If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.