HomeMy WebLinkAboutBuilding Permit App page 1All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building Permit Application
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Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Irirginio Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 4624578
PERMIT APPLICATION FOR:
Address: fi `,
PropertyTax ID #: , `t ( 1� Lot No.
Site Plan Name: Black No. x
Project Name;
A]LED DES N {3
off. ,
1,17
New Electrical Meter Second Electrical Meter (Affidavit required)
Additional work to be performed under this permit— check ail that apply:
_Mechanical _ Gas Tank — Gas Piping _ Shutters _ Windows/Doors _ _ Pond
Electric — Plumbing _ Sprinklers — Generator V�,. Roof ___.Pitch
Total 5q. Ft of Construction: 13 3 ,1 5q. Ft. of First Floor:
Cost of Construction: $ _Z :.1 Utilities; —Sewer —Septic Building Height:
Name . Name: 1
Ad Ss: �� - � Corrt�
city pan �4 L State.- AdZs:
Zip Code: Fax: Cit"g A Stat
Phon ( Zip Cade: Fax-'..
E-.Mai - virk i Y '� hon
de!601AFill in fee simple Title Hn r on next page i ere E-Mai V�
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 ct Commencement is required.