HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
230D Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: q&Q5 ���p" a""'' t no- A�\,�z • fii trna, 34Q51
Legal Description: - L�,L.i w00pf y,Ini- I A A (f
Property Tax ID #: 13p( -47 10 - 000 2 " 06V - Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Fr
Back: Right'Side: Left Side:
DETAILED DESCRIPTION OF WORK:
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CONSTRUCTION INFORMATION:
Atiddythal work to be Derformed under this- permit -check a app y:
HVAC Gas Tank ❑Gas Piping _ Shutters windows/Doors
1-1 Electric Plumbing Sprinklers 01 Generator 0 Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 5000.00
S . Ft. of First Floor: _
Utilities:Sewer1:1 Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name lwU
Name:
Address:_&ps lliv,/0,
Company:
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City: at- ri f uz V State: _
Zip Code:-3LAI5l Fax:
Phone No. -1-7 0-- ✓? Z I - 2&S5
Address:.510rJ pt--U,frl okq- F J
City: I b( IRef(& State.: rt,
Zip Code: '3 415 f Fax: -77-1- 4 0 -373-I
Phone No. �_ Ltaf -4f+1
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail:y7DVI nP trnh�apA�- Cn n
State or County Licen e: CA-Ce I Z I
n vaiue or construction is $zbw or more, a KECOKUED Notice of Commencement is required.
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