HomeMy WebLinkAboutBuilding permit appAll APPi.i~ I~ MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/L[Jl/ PermitNumber: ______ _
COUNTY --.__
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Building Permit Application
Planning and De,,,/opment Services
Building and Cade 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
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Address: _lL2.L._tuQ.)J..l,illlUJ:J..<-L:k-r-.illillW~ill_jQlk!J'.~-~::1=!:::L ______ _
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PropertyTaxlD#: [4-l'-:f -10!-QJ~D~ Q(JQ-5 Lot No .. ___ _
Site Plan Name: ______________________ _ Block No. __ _
Project Name: _____________________________ _
Setbacks Front. ____ Back: ___ Right Side: ___ Left Side: __ _
l DETAllEODESCRIPOONOI' W®K: .·
Gas Tank
□Plumbing
as Piping
Osprinklers
Shutters
□Generator
Total Sq. Ft of Construction:_______ 5'f£!; of First Floor:
Cost of Construction: $ 7 / 0 0 · 0 0 Utilities: LJSewer □Septic
OWNER/LESSEE;.
Name V'Yl
Address: \37 <' IUl'llU'\--t' 0!-.
City: tort PtlCCL. State: I<,,
Zip Code: 34q J.t°t Fax: ______ _
Phone No. J1k,, ,go f -~ /p / -0 3 (/j
E-Mail:. _____________ _
Fill in fee simple Title Holder on next page C if different
from the OWner listed above)
□ Wmdows/Doors
□Roof
Building Height: ___ _
If value of amstructlon is $2500 or more, a RECORDED -of c:am.-ment is required.