HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date.- 2__
A
IZZY Permit, Number:
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P
Buildin Permit A
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Planning I
a Id Development Services
Building ard Code Regulation Division
2300 Virgir)ia Avenue, Fort Pierce FL 34982
Phoneo (772) 462-1553 Fax.- (772 462-1578
PERMIT APPLICATION FOR:
Commercial Residential
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit — check all that apply:
—Mechar,ical — Gas Tank — has Piping e�aShutters Vlindows/Doors Pond
Electric — Numbing — Sprinklers — Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. ®f First Hoor:
Cost of Construction,: $ Utilities: Sewer Septic :
Building Height
S i g n1atwf-eof 0 w n-e r7 —Le see/Ca e 7c—o
actor r as �Agent f0 r owner
STATE OF FLORIDA
COUNTY OF
ZSwor to (or affirmed) and subscribed before me of
xhysical Presence or —_ online Notarization
this day of 2020 by
Name of person making-'%---s-ratement.
Personally Known OR Produced Identification
Type f Identification--
RfQd ced'
ture of Notary Public State o_fFJ,
SMANNON WATTS
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Commission No. M
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EXPIRES: SIP 16, 2Q,
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REVIEWS I FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
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STATE OF FLORIDA
COUNTY OF
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Sworn o (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this day of 2020 by
Name of person making state ent.
Personally Known OR Produced identification
Type Identification
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—(--iigna P of Notary Public- State r.1
3 F3 SHANNON WATTS
mission NO .-
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IRES: SEP 16,2024
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