HomeMy WebLinkAboutBuilding Permit App All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Nbmber:
Building Permit Application
Planning and Development Services
Building and Codd Regulation Division =
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential _
PERMIT TYPE:
Address:
Property Tax ID#: � 3 C3 5 CfI` V ,3 FAQ Lot Nrr�
Site Plan Name: qtj 1X6 (y k 1: z S Block No. _
Project Name:
d C_
Additional work to be performed under thisperr'fiit—check all that apply:
1
_Mechanical _Gas Tank —Gas Piping —Shutters. Windows/Doors
J x
Electric Plumbing Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ z �C Utilities: _Sewer _Septic Building Height:
Name Name: I-
Address: G? - Z ',- ZbL Company: kivcz C4 r
city: �'t i � _ _ State:j—C— Address: 3 c iz
Zip Code:_`r� _ Fax:-?4 , 6,4�L _ City: State:
Phone No. _0 i--- z:s L �i ` T Zip Code: s1 Y!F Fax: 2 2 J- ` y(ek t
E-Mail: Phone No�77 y — 1(6 17, 3 1� 5F T
Fill in fee simple Trtle Holder on next page(if different E-Mail a L�
from the Owner listed above) State orCouqy License t*
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.