HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLE FED FOR APPUCATION TO BE ACCEPTED
Date:----& Permit Number:
•
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce F!34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click allow at the end of line
PR4PC)SE[3 lMPRO +'tEtl'i LOfkTiJ1 ;
Address: V
Legal Description:�� OT
Property Tax ID#: f�,a �a2� "Odd -�. Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED 1�ES�CR�P`�IC�N QI��h1E3�lC:
�ylrt5� c E n nox -4F bn W- 56 ae_
CQ1►t5TRtJCT1( tlVFt�INATI�DN
iti.. a work o rme un er is permit-check a apply:
HVAC Gas Tank []Gas Piping _Shutters a Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq_Ft of Construction: S Ft,of First Floor:
Cost of Construction:$ 55 0 0• Q0 Utilities:ll Sewer Septic Building Height:
01AikElE: G4IT#� R:
Name Name: Kdaft
Acldre*-.J�2-JU VA i, fI ��. Company:
City: vok,?If f((-,L State- Address:51614 -4 f
Zip Code: 31474 51 Fax: City:1brb—RQ,rc& State:
Phone No. 3-`115-2 3 fe d Zip Code: S 4t 51 Fax:7?;-4&4?-373Z
E-Mail: Phone No.-"mJ- 4Jg I-!1I+1
Fill In fee simple Title Holder on next page[if different E-Mail:
from the Owner listed above) - State or County Licen e: CA1..19h3 i a
tf value of construction is$2SW or more,a RECORDED Notice of Commencement is required.