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HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: CC3LJIVTY Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34981 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Address: Legal Description: Permit Number: Building Permit Application Commercial Residential _)�_ Property Tax ID #: Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: A /C. CA&Ade nu-F CONSTRUCTION INFORMATION: ,Mechanical _ Electric _ Gas Tank _ Plumbing Total Sq. Ft of Construction: Cost of Construction: $ 4(Q?'� City: _ Gas Piping _ Sprinklers State: _ Shutters _ Generator Sq. Ft. of First Floor: Utilities: _ Sewer _ Septic Zip Code: ayg5l Fax: y Phone No. 2- % E-Mail:nj�^Q-{-& 4Y UI11 Fill in fee simple Title Holder on next page (if different from the Owner listed above) Compa Lot No.91,15 (q_ Block No. Windows/Doors Roof Pitch Building Height: �y State: K Zip Code: 329C> Fax: Phone No 7?a _ �i/- E-Mail 1'i it �!••GarN State or County License C /$l$$QQ City: of construction Is 2500 or more, a RECORDED Notice of Commencement is