HomeMy WebLinkAboutbuilding permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: A Permit Number:
L` L ff zti Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 452-1578
PERMIT APPLICATION FOR: -
PROPOSED IMPROVEMENT LOCATION:
Address:
Property Tax I D #: Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
✓'L�= Q yS % t 'Y
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
Mechanical _ Gas Tank _ Gas Piping Shutters — Windows/Doors Pond
_ Electric _ Plumbing _ Sprinklers _ Generator — Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 3 Utilities: —Sewer _ Septic Building Height:
OW N ERAESSEE:
CONTRACTOR:
Name:—
Company:
Name
Address: gile 14
Address: t; o�
6f
city: (�yzl_-_17f eycel f State:
Zip Coder Fax: _
City: Stater
Phone No.
_r`'r4
Zip Code: Fax:
E-Mail:
Phone No
Fill in fee simple Title Holder on next page { if different
E-Mail
State or County License _7 `}
from the Owner listed above)
If
is required.
value of construction is 2500 or more, a RECORDED Notice of Commencement
If
value of HAVC is $7,500 or more, a RECORDED Notice of Commencement
is required.