HomeMy WebLinkAbout6735 Dickinson Terr Permit Application-incorrectAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
AAMT Ill; Z
Building Permit Application
Plannwg and Vevelopment Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce F% 34982
Phone: (772) 462-1553 Fax: (772) 452-1578
PERMIT APPLICATION FOR:
Address: U�
Property Tax ID #:
Site Plan Name: _
Project Name: _
Lot No. I l Lf
Block Ma'L
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank _ Gas Piping _ Shutters Windows/Doors _ Pond
_ Electric _ Plumb ng T Sprinklers _ Generator A, Roof 13 Z-Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ t Utilities: —Sewer —Septic
Name
?-21
Zip Code: Fax: T
Phone No F.
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name:
Compa
Addris
Zip Cade:-
Phon
E- it 1
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 Not!re of Commencement is required.
Building Height:
Fax:
5t