HomeMy WebLinkAboutPERMIT APPLICATION 1 (3)All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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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:
PROPOSED IMPROVEMENT LOCATION:
Address: C�)_A1 IC _ I 0 Y) (`AA I ,)
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CONSTRUCTION INFORMATION:
Permit Number:
Building Permit Application
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Commercial Residential I
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
'`'Electric _Plumbing —Sprinklers Generator
Total Sq. Ft of Construction:
Cost of Construction: $
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic
OWNER/LESSEE:
CONTRACTOR:
City:Iti Lue S4*.
Code:Zip Phone • Y
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Lot No.
Block No. / 6
— Windows/Doors
— Roof Pitch
Building Height:
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0 - MA5,
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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.