HomeMy WebLinkAboutBuilding permit app pg 1 R 001ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Z� 2� Permit Number:
Building Permit Application
Planning and Development n Dices
Building and Code Regulation Division
/
2300 Virginia Avenue, Fort Pierre FL 34992
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PPOPOSEt) IMPROVEMENT LOCATION-
Address:
fc 3051
Legal Description: 1
iyQ 41000( P"i - U,I'il-� 1 3�
Property Tax ID #: �l� (� 13'O O l !o
Lot No.
Site Plan Name:
Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DEiA1L0DESCRIPTION OF WORK•
I� (C, c2 S�tt�uUD 3ton
CONSTRUCftQNI FpRMAT1ON: aPpY-
un ert ispennit-e ec aWindows/Doors
di a WD to e e orme Shutters
Gas Piping o
HVAC GasTank Roof
sprinklers Generator
n Plumbing . f nmt Floor:
1 1 W u.•.� )
`S Ft of construction:,�/� Sewer _ Septic
TotalS4• 7j�UV UU Utilities:
Cost of Construction: U V CONTRACTOR:
OWNER/LESSEE_ Name:
rL ? AAA company_J
State- _.,_
City: S l� f Fax. —_
Zip Code:
phone —
E-Mail: e 1 if different
Fill in tee simple Tdle Holder on next Pat+
{ram the OHinec fisted above) _ � v,We of mnstrucdon
is $ZSpO or more, a RECORDED plot�ce
Building Height:.__�
City: -3 3� ,
Zip Code: �1
phone No_-
E-Mail: )$1Vz U
state or County Liken e:
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