HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Budding Permit Application
Planning and Development Services
Building and Code,Regulation Division ,
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR:
PROPOSED INPROVEMENT LOCATION. -
Address: e
Legal Description: �c f c�
Property Tax ID#: Cho�.D1 I�� r- = r— Lot No.
Site Plan Name:� 4n(Lb L 1 C--e- YV—���a� _ _ Block No. �
Project Name:
Setbacks Front Back: Right Side: Left Side:
I ETAII.EI DESC IPTION OF WORK:
,A C <S
CONSTRUCTION INFORMATIC}W
Additional work to be pertormed under this permit-check Eh&k bill that apply:
Mechanical _Gas Tank Gas Piping _Shutters Windows/Doors
_Electric Plumbing _Sprinklers _Generator Roof _ Pitch
Total Sq. Ft of Construction:_ 1� Sq. Ft.of First Floor:
Cost of Construction.$ �� Utilities: —Sewer _Septic Building Height:
C3I�IERJI_ES E; CONTRACTOR:
Name t/1.q i i' Name: <' i
Address: C Company:
City: — State: F(, Address:
Zip Code:' Fax: r City: Arrze c Stater
Phone No. 7� ���-` 7_ �_ Zip Code:�� ! � Fax:
E-Mail: v,/f/��
Phone No �' I
Fill in fee simple Title Holier on next page(if different E-Mail
from the Owner listed above) State or Cou ty LicenseJr
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.