HomeMy WebLinkAboutBuilding permit app, updatedAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application
Planning and Development Services J.
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address:
Property Tax ID #: Lot No.
Site Plan Namer j Pd Sir r'C (f a C i) 4: r) e.5 Block No.
Project Name: aa 44K ""A ; a 42 t
DETAILED DESCRIPTION OF WORK:
0
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
AdditionABI work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing — Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ A23 i4zq
(Affidavit required)
Generator
_ Windows/Doors _ Pond
Sq. Ft. of First Floor:
Roof Pitch
Utilities: _ Sewer , Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name LZ l 4ie5
Name: 1111t {h ie./
Address: C/
Company:
City: ,r 03��c� r State:A-1 r'
Addressk-�,, 3 S G' -3
Zip Code:e/,P/3"'5' Fax:
Citye9 ZLS4 ij-e t _ State;_
�+
Phone No. .5 77 - Lf � 41 / 19 E-
Zip Code: e/!J % !2 Fax:
Mail:
Phone No .52Z
Fill in fee simple Title Holder on next page (if different
E-Mail / n I .CJ ,a
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.