HomeMy WebLinkAboutbuilding permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Datt�e:
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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:
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Address:
Property Tax IDM-7Z)LIG01O(ji`J oOOoZ Lot No.
Block No.
Site Plan Name:
Project Name:
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Additional work to be performed under this permit— check all that apply:
_Mechanical —Gas Tank _ Gas Piping _ Shutters —Windows/Doors — Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: ; tr ✓vv Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE me: hud
Name '
Address:ri�90s;
Company*F^
City: ?10 Ce P State TfL Address'
State:_
Zip Code:�jticl SI Fax: City:
Phone No. L)—fi°ta'1 Zip Code: Fax:
E-Mail: d l le D YVl Phone No
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 HAVC is $7,500 oe more, a RECORDED Notice of Commencement is required.