HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ('< k Zk 'z' ( Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT TYPE:
Address: � ft 03 S p_�- o -', off_
Property Tax ID #: '3 -to -c) - (ou l - 00 3&' - b C3o Lot No. 4
Site Plan Name:
Project Name:
Block No. 'Z:I (
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37 WIt
Additional work to be performed under this permit -check all that apply:
Mechanical _ Gas Tank _ Gas Piping _ Shutters — Windows/Doors
Electric �lumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 10 :570
Sq. Ft. of First Floor:
Utilities: — Sewer _ Septic Building Height:
Name r c-er�
Address: ctSo-,k
City: T') . Q --er LC State:' L
Zip Code: 3 K s` 1 Fax: /Q )
Phone No. "1 1 2 - (� 2 \ _S� 2
E-Mail: i, \
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Lou_ram i--<<r. `S
Company: b: s\-6
Address: a t S S. 5_ 1 i
City:State: 'VC,
Zip Code: Fax: A-; ,A
Phone No
E-Mail o +'^
State or County License C C C, 0Z q 3
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.