HomeMy WebLinkAboutBuilding pemit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: z .11-1 /Z! Permit Number:
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
PERMIT APPLICATION FOR:
Commercial
Residential 0)(
Address: Fclq"'� (1zqAMQK�0 Latu
Is I
Property Tax ID #: !�_C) I — 1 Lot No.
Site Plan Name: 0- Block No.
Project Name: LJ 4
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit — check all that apply:
)4VLechanical Gas Tank Gas Piping Shutters
Electric Plumbing — Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $� `j �%��� s ��
Name
Ad d ress:
City:
State:
Generator
Sq. Ft. of First Floor:
Windows/Doors
Utilities: Sewer . Septic
Zip Code: I-) ca
Fax:
Phone No. •
z
E-Mail: t->r
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name:
Roof
Building Height:
Pond
Pitch
Company: r- tC46U L90W Z
Address: C I _11L.A
City: rx-1 (2 V100) U, State:
Zip Code: S Fax:
Phone No L10
E-Mail
to M i fq (I - Obton
State or County License .2S.
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $i,500 or more,, a RECORDED Notice of Commencement is required.