HomeMy WebLinkAboutBuilding Permit Application, updatd 5.26.21 fAII A-TpLICABLE INFO rrMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED n
Date: �'��X" ZI Permit Number:_
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)462-1578
PERMIT APPLICATION FOR:
PR• POSED IMPROVEMENT LOCATION:
Address:
Property Tax ID#: Lot No.
Site Plan Name: Block No.
Project Name:
. DETAILED DE�SCRIPTION 4F WORK:
44
ew 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
in
Total Sq. Ft of Construction: -/ 0 Sq. Ft. of First Floor:
Cost of Construction: $ 9�'� Utilities: —Sewer —Septic Building Height:
OWNER/LE�S�SEE: CONTRACTOR:
Name Name:
Address: i'Cb1 i C_ ,in �¢/O,� Company:
City: ,PS e-, State:AL Address:
Zip Code: ,�C $ Fax: City: State:
Phone No. i , &-d-73 5" 9 3 Zip Code: Fax:
E-Mail: C I& -ryL Phone No
Fill in fee simple Title Holder on next age(if different E-Mail
from the Owner listed above) State or County License
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.