HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: '
Permit Number:
Planning and Development Services Building Permit Application
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial
______ Residential
PERMITTYPE: -'—"
PROPOSED INPROVEMENT LOCATION_:
Address: �!` N l f
Property Tax ID#.
Site Plan Name: Lot No.
Project Name: Block No.
DETAILED DESCRIPTION OF WORK:
gNSTRUCTION 'I.NFORMATION:
Addition ork to be performed under this permit-check all that apply:
Mechanical —Gas Tank —Gas Piping m
g —Shutters _Windows/Doors
—Electric —Plumbing —Sprinklers Generator
— .^,Roof Pitch
Total Sq. Ft of Construction-
5q. Ft. of First Floor:
Cost of Construction; $ �. Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name `C
Name i
City: Company U
City: 1:1'-7) . ` t ' _-_State. t U
� _ Address:
Zip Code: Fax: i
city; -t—�.1c-'-t
Phone Nov State:
r Zip Coder-c Fax:
E-Mail: Phone No — 12�
Fill in fee simple Title Holder on next page(if different E-Maili
from the Owner listed above) Carl � �m�
State or County License�_�{•' � � 4�(,�
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.