HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
9�ir. am-.
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Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulationoiv;Sion Commercial Residential
7300 Virginro Avenue, Fort Pierce FL J4992
Phone: (772) 462-1553 Fax: (772) 462-1578
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Site Plan Name:
Project Name:
New Electrical Meter Second Electrical Meter
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Black No.
Additional work to be performed under this permit- check ail that apply:
_Mechanical _ Ga5Tank , Gas Piping _Shutters , Windows/Doors Pond
_ Electric _ Plumbing Sprir tilers _ Generator V Roof'i --7Piteh
Total Sq. Ft of Construction: I •Q _ Sq. Ft. of First Floor:
Cost of Construction: $ O o Utilities: _Sewer _Septic
Building Height:
Name (R Name: 1 i
Addres � I �57�, Company; a �'
Cl Stater Add ss:
Zip Code& Fax: City. -X—
Phone NA -1114 Zip Code; Fax
E-Mail: Phan o 7
Fill in fee simple Title Holder on next page if different E-Mai
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from the Owner listed above) state or County License3
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.
State: