HomeMy WebLinkAboutBulding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPUCATION TO BEAtaPTED
Date: 2-{ 2.-~ / Z-1 Pennit Number: ______ _
COUNTY .......__
rLORrnA
Building 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: To Select from dropbox, click arrow at the end of line
Address: ~00':f WJC: oocl Dr. , rort t (lrce.
Legal Description: ~ "Vet(~ -' UJttt 3, Bl k:-zi-1-[bf:S Z ~ 3 , I
Property Tax ID#: 1:Ql -fto.3 -DWI} -coo--g lot No. ___ _
Site Plan Name: ______________________ _ Block No. __ _
Project Name: _____________________________ _
Setbacks Front ____ Back: ___ Right Side: ___ Left Side: __ _
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AC Gas Tank
□Electric D Plumbing
r IS penn1t -C
O,asPiping
Osprinklers
utters
□Generator
0 Windows/Doors
□Roof
Total Sq. Ft of Construction: ______ _
Cost of Construction: $ ij 3lll/. cJ)
S<µ!; of First Floor:
Utilities: LJ Sewer ! ! Septic Building Height: ___ _
Name.l'l.l!l-~J.,l,lQ;!l'.J~.L~~f.IDU11JI1!!r.ll:l~
Addre .
City: M-1/-~p"",w"--"r:.t.."""'"""'""""'-=:..:__--S-tat_e_~.,,,--
Zip Code: ~l.j.tf., I Fax: ______ _
Phone No. fl J. -Z.! {o -). 10 8
E-Mail: _____________ _
RH in fee simple Trt:le Holder on next page ( if different
from the Owner listed above) ..
Name:-=='¥-""'"'""il-"-'=":!"~",:------,--,-,---,-,---=-
Company:
Address:5(0 Pr
City: tt,(b H'ifc.e,, State: r::t_
Zip Code: ·3 lf4 5 ) Fax: 71 ;L-L{l,4'-3731
PhoneNo.:t1l-4{o{-414:f
E-Mail:~leac O..j/11,boa, Co in
State o.'.coLntv Uceni.,; e.A<}I'& l'Sf ~ {/
If value of mnstructlon Is $2500 or more, a RECORDED Notice of Commet~ Is required.