HomeMy WebLinkAboutBuilding Permit Application-updated All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: -P Permit Number:
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Bug 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:
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Address: r1 0
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Property Tax ID#: ��l `-to 0 0011"� Lot No.
Site Plan Name: Block No.
Project Name:
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New Electrical Meter Second Electrical Meter (Affidavit required)
:
Additional work to be performed under this permit-chock 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'=$--- '�� Utilities: _Sewer _Septic Building Height:
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Name C kk&s rl�1�jP Name:
Address: o "�/� P�(-�o R K)(F Gi_ecL_C_- Company:
City: State: L Address:
Zip Code: ( Fax: City: State:
Phone No.4� l b�--C6d'J34 Zip Code: Fax:
E-Mail: ln� �6"l� �_ fr �{ -Cow Phone No
Fill in fee simple Title Holder on next page(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.